Skip to main content

265 N 3rd East /PO Box 39 Mountain Home, ID 83647

208-587-8415
Request Appointment
BB_Child-Fashion-glasses-35Woman-1024x256
Home » Contact Us » Appointment Request Form

Appointment Request Form

  • Please fill in the form below to setup an appointment.
  • Please provide a reason for your appointment. Details are stored securely and not sent by email.
  • Please let us know when you would prefer to have your appointment. Our hours are listed on our location page.
    Please let us know if you are a new or existing patient.
  • :
  • This field is for validation purposes and should be left unchanged.
x

Due to the COVID-19 pandemic, we are asking that only patients and one parent or caregiver enter the building.   Please call the office to make appointments or payments.  Thank you so much in helping us keep the patients and staff healthy.