720 N. 30th Street  Billings, MT 59104     406-259-5096

Medical Clinic

New-Patient Forms

To save time at your first appointment, we encourage you to print and fill out the following forms prior to your arrival.  Turn in the completed forms at the registration desk when you check in for your appointment.

Patient Demographics Form

Patient Medication History

Family Medical History

HIPPA Privacy and Consent Form

HIPAA Release Authorization

YNC Policy Agreement

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