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Our most frequently used forms can be found on this page. Please contact us if you have questions.
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RegistrationMissoula Medical & BH Registration Form
Missoula Dental Registration Form Seeley Medical & BH Registration Form Seeley Dental Registration Form Superior BH Registration Form Superior Dental Registration Form Montana Cancer Screening Program Registration Prefer to fill your registration form out by hand? Click here for a printable version (good at all sites) Need to give us a quick update? Click here to send us a copy of your photo ID Click here to send us your insurance card(s) |
Releases of Information (ROI)Medical ROI
Dental ROI Prefer to fill your release form out by hand? Click here for a printable version of the medical ROI Click here for a printable version of the dental ROI Consents & Notices |
401 Railroad St. W
Missoula, MT 59802 Main Line: (406) 258-4789 Dental: (406) 258-4185 Behavioral Health: (406) 258-4497 Pharmacy: (406) 258-4139 Billing: (406) 258-4195 Fax: (406) 258-4732 View hours at all our locations here. |
Tell Us About Your ExperienceThis is not a secure form of communication. It is not HIPAA compliant and therefore should not be used to send personal health information. If you have a question for your provider please call PHC at (406-258-4789) or use the secure web Patient Portal.
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Find UsWe are conveniently located in downtown Missoula at 401 Railroad St. W. We are easily accessed from I-90 via the Orange Street Exit. PHC is also just blocks away from the Mountain Line Transfer Station, also located downtown.
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