Patient forms

Paperwork, done from home.

Every form is online. Tap one to fill it out and sign it on your phone or computer.

How it works: Each form opens on Hint, the system we use for memberships and records, in a new tab. You'll enter your name and an email or phone number to start.
Members: If you joined a membership, you sign most of these when you sign up. Only fill one out here if we ask.
Not sure?: Call or text 208-856-6312 and we'll tell you which forms you need.

Every patient

Every patient fills these out, member or not.

Consent to treatment

Lets us care for your child. (opens in a new tab)

Notice of privacy practices

How we protect and use your family's health information. (opens in a new tab)

Telehealth consent

For video visits from home. (opens in a new tab)

Your state's HIPAA form

Fill out the one for the state you live in.

Idaho family HIPAA form

For families who live in Idaho. (opens in a new tab)

Washington family HIPAA form

For families who live in Washington. (opens in a new tab)

Members

If you're joining a membership, not booking a one-time visit.

Membership agreement

The terms of your Porchlight membership. (opens in a new tab)

Only for a procedure

Only if we do a procedure, like stitches or draining an abscess. We'll let you know.

Procedure consent

Your OK before an in-home procedure. (opens in a new tab)

Before certain visits

Short questionnaires we may ask you to fill out before an appointment. We'll tell you which one.

PHQ-9

Before a visit about depression or anxiety. (opens in a new tab)

GAD-7

Before a visit about anxiety or depression. (opens in a new tab)

Edinburgh

Checks in on depression and anxiety after having a baby. (opens in a new tab)

Care That Comes Home

Questions about a form?

Book a time Send a note

Not for emergencies. For any life-threatening or severe symptom, go straight to the emergency room. When to go to the ER