New Patient Paperwork

Intermountain Spine and Wellness offers our patient form(s) online so they can be completed in the convenience of your own home or office. The following paperwork is for both Helena and Deer Lodge locations!

  • All forms are available to fill out online.
  • Please follow the link below to fill out all the required information.

We Accept the Following Insurance Companies

Aetna
Allegiance
Blue Cross Blue Shield
Cigna
Humana
Medicare
Pacific Source Community Solutions