(208) 523-0840

(208) 523-0840
patientcare@drlegacy.com

1685 Pancheri Drive
Idaho Falls, Idaho 83402

Tue, Wed, Fri 8:30AM – 5:00PM
Thursday 9:00AM – 5:00PM
Closed Mondays and Weekends

Forms

Select a link below to retrieve a PDF form. Please print, fill out and bring with you to speed up your visit.

Patient Registration

Patient Registration

Medical History Report

MedicalHistoryMainReport

HIPPA

hippa

Receipt of HIPPA Notice

hippa