Patient Forms

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Filling out forms on paper is almost a thing of the past at Syringa Hospital & Clinics. Below are a few forms that you may find helpful.

Sports Physicals
It is required that all students complete a History and Physical examination prior to their first 9th and 11th grade practice in the interscholastic (9-12) athletic program in the State of Idaho.

Idaho High School Activities Assoc. Health Exam & Consent Form


Medication Tracking
Keep track of your medications with this handy form. You can bring this with you to show your medical provider.

Patient Medication List