An Affiliate of D&G Medical Associates

• • • Patient Forms • • •

We accept Medicare and most insurances

About At Home Medical Providers

Dr. Daniel Allen, DO, CMD, is a physician serving the Meridian, Boise, and Nampa areas, with the ability to travel anywhere from Mountain Home, Idaho, to Ontario, Oregon, to ensure his patients get the best care, wherever they live. He and his team focus on providing primary care services for patients in long-term or post-acute health care circumstances. Dr. Allen's goals are to treat patients with dignity and in the environment in which they are most comfortable. También, el médico habla español.

We accept most forms of insurance and are invested in helping keep medical care costs low for our patients. Don't be afraid to ask how we can help you.

Phone: (208) 286-8670

• • • Patient Forms • • •

Welcome Letter for Residents and Families

Intro Letter for Facilities

New Patient History Form

Release of Medical Information

Credit Card on File Authorization

Medical Privacy Practices and Financial Agreement

Medical Provider Change Request

Facility Communication Form

Televisit Consent Form

POST Form

We accept Medicare and most insurances