Hollingshead Eye Center

208.336.8700
360 East Mallard Dr., Suite 110
Boise, Idaho 83706

New Patient Forms

We now offer forms that can be electronically filled out so there is no need to print them.  You can choose the E-Sign form and the forms will be sent to us electronically, or you can print the PDF form to fill out manually.

New Patient Packet

 

Cataract Questionnaire

 

Credit Card Remote Authorization

 

Medical Records Release Form

 

Financial Assistance Request

 

Request for Payment Documentation

 

PDF DownloadBilling Policy

 

icon-pdfNon-discrimination Policy

 

 

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Log in to our patient portal to:

  • Update established patient information
  • Request a prescription refill
  • Request an appointment
  • Ask a question
  • View Statements
  • Make a payment