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Home
Our Clients
Our Services
Resources
Contact Us
Jobs
Registration Forms
Upcoming Events
More
  • Home
  • Our Clients
  • Our Services
  • Resources
  • Contact Us
  • Jobs
  • Registration Forms
  • Upcoming Events
  • Home
  • Our Clients
  • Our Services
  • Resources
  • Contact Us
  • Jobs
  • Registration Forms
  • Upcoming Events

Registration Packets

Registration packets:

Copy of Notice of Privacy Practices

ICANS FAQ Flyer

Medicaid Adult Registration Packet

Medicaid Child Registration Packet

Adult  Registration packet

Child Registration packet


***PLEASE PAY ATTENTION TO FORM YOU FILL OUT***

If you have access to a printer, please bring these forms to the office prior to your appointment. If you are unable to print these documents we can provide them to you. Please arrive to your first appointment 30 mins EARLY to allow time to fill them out prior to your session.

Copy of Notice of Privacy Practices (pdf)Download
ICANS FAQs Flyer (pdf)Download
Med_Optum Adult - REGISTRATION PACKET - 2022 (pdf)Download
Med_Optum CHILD - REGISTRATION PACKET - 2022 (pdf)Download
PP_PI Adult - REGISTRATION PACKET - 2022 (pdf)Download
PP_PI CHILD - REGISTRATION PACKET - 2022 (pdf)Download

ACTS Idaho

2950 Magic View Dr. Ste 192 Meridian, ID 83642 | Other Sites: Caldwell & Nampa, Boise, Meridian (by appointment only

208-600-2184 // info@actsidaho.com

Copyright © 2023 ACTS Idaho - All Rights Reserved.

Advanced Clinical Trauma Services