Request An Appointment

Clinic Appointments

If you are an existing patient planning to visit any of the locations listed below, please log in to your account on our Patient Portal to schedule an appointment. If you are a new patient, please fill out the form below or call one of our locations to schedule an appointment.

Primary Care Clinics

MFM Downtown or Westside

Internal Medicine

Kendrick Family Care

Potlatch Family Care

Troy Clinic

Gritman Medical Center

Use the form below if you are a new or existing patient at Gritman Medical Center Therapy Solutions or Women’s Imaging departments. Your insurance may require a physician referral for certain services prior to your visit. Please allow 1-2 business days to process your request. If you need immediate assistance, call 208-882-4511.

This does NOT include appointments for Moscow Family Medicine. Please visit our Locations & Hours page to call and schedule an appointment.

Reason for Visit*
Name*
First Last
Date of Birth*
Gender
Email*
Daytime Phone*
Home Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Insurance*
Please Specify*
Insurance ID Number
What will we be seeing you for?*
Please provide additional details (optional)
Preferences
Day of the Week*
Day of the Week*
Days of the Week (select all that apply)
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time*
Preferred Time (select all that apply)
- Morning (8 a.m.-noon)
- Afternoon (noon-5 p.m.)
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Request an Appointment

Clinic Appointments

Gritman Medical Center

Request An Appointment