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Patient Forms

As of May 14, 2024, we have a wait list for new family medicine patients. Feel free to complete paperwork below. We will contact you as soon as we have appointments available.

As of May 14, 2024, we have a wait list for new family medicine patients. Feel free to complete paperwork below. We will contact you as soon as we have appointments available.

Step 1: Fill Out Health History Forms

  • Fill out a New Patient Packet for family practice patients.
  • If you are looking for mental health counseling, please fill out the Counseling Intake as well.
  • Forms also available for pick-up inside the front door at Blue Mountain Clinic.
  • If you are in need of abortion care, please call us at (406) 721-1646

Step 2: Submit your completed forms

  • If you are unable to complete your packet online, you can:
    • Mail them to 610 N. California St, Missoula, MT 59802
    • Drop them off at BMC’s location. There is a secure dropbox located in the front entryway.
    • Fax them to 406.543.9890
    • Scan and email them to [email protected]

Step 3: BMC will call you to schedule

  • We will contact you via phone to schedule your first appointment. If we are unable to match you with a provider, you will be notified via mail.

Call Blue Mountain Clinic with any questions about becoming a new patient: