Patient intake forms

New Patient form

New Patient Intake Packet

Click the “Begin Intake” button below to begin the online fillable forms. These are directly submitted to us upon completion, at which point we will reach out to get you on our schedule.

If we have notified you that we are missing specific forms from you, you can scroll down and click a specific form to complete from the column on the left—this feature is available so you do not have to go through the entire New Patient Intake form packet again and complete forms you may have already submitted to us.

If you would prefer to print off the forms individually, these are all available below within the column on the right entitled INDIVIDUAL FORMS (PDF) TO PRINT AND SUBMIT MANUALLY

Give us a call or submit your information below, and we’ll reach back out to you as soon as we are able

Northern Nutrition
1125 E. Polston Ave, Suite A
Post Falls, ID 83854
Phone: 208-640-4502
Fax: 208-777-7330
Office Hours:
Mon-Thurs 8am-4pm