Helpful Forms & Documents

Steele Memorial Medical Center offers a variety of helpful forms and documents for our patients and visitors. Below is a listing of the forms and documents available for download online.

• Idaho Birth Certificate Request
• Patient Information Release
• Financial Assistance Application
• Medicare Information
  • Consumer Guide to Medicare
  • How Medicare Covers Self-Administered Drugs Given in Hospital Outpatient Settings
• Idaho Medicaid Program “Healthy Connections”
  • Assistance Programs
  • Child Protection/Child Welfare
  • Child Support Services
  • Children’s Health
  • Pregnancy & Early Childhood
• Idaho Commission for the Blind & Visually Impaired
• Eastern Idaho Public Health
  • Flu Vaccines/Immunizations
  • WIC
  • Reproductive Health
  • Women’s Health Check
  • Free Breast and Cervical Cancer Screenings
  • Tobacco Cessation
• Eastern Idaho Community Action Partnership
  • Family Services
  • Head Start
  • Housing
  • Senior Programs
  • Weatherization
  • Lemhi/Custer County Cancer Fund