Patient Forms


We appreciate your consideration of Pain Care Boise for your healthcare needs. We strive to provide the highest quality of professional care at the best possible value. You can help us anticipate special needs by telling us more about yourself.

For your convenience you may print and complete our new patient forms. If you do not have access to a printer we can fax or mail you a copy; or you may stop in to get them.

Our providers would like to review any reports from other doctors, x-rays, MRI’s, CT scans or other tests that you may have had performed in the past relating to your pain problem.

Once we have reviewed your forms and reports and we feel we can help with your pain problem, we will contact you for an appointment. We know you have a choice when it comes to your medical care and we appreciate you choosing Pain Care Boise.

The Staff of Pain Care Boise
William G. Binegar, M.D.

New Clinic Patients

All new Pain Care Boise patients please complete the following forms and present to our receptionist at your first appointment time.
TitleWord FilePDF File
Financial Agreement
Health History
Release Information

New Surgery Center Patient Forms

All new surgery patients please fill out the following forms:
No posts

Miscellaneous Forms

New patients, please review the following forms prior to your appointment.
No posts

Do you need a MS Word or Acrobat Reader? Download them below.