If you are a facility who is transferring a patient to Kootenai Health’s Behavioral Health program, please use the forms listed below.
For Youth Transfers:
Youth Transfer Request
Admission Packet
- Patient Intake Form
- Acknowledgement of Custody and Consent for Discharge
- Medical History Questionnaire
- Release of Information
- Conditions of Admission to Kootenai Health
- Youth Communication List
- New Family Expectations Form
Family Information Packet
For Adult Transfers
Coming Soon