Patient Resources

Patient Forms

• Adult Health History Form 
• Patient Information Form - English 

Web Resources

• InstaCare (Bountiful InstaCare & more) 
• Intermountain Healthcare Health Resources by Topic 
• IntermountainLiVE.org 
• KidsCare (Bountiful KidsCare & more) 
• My Health 
• Personalized Primary Care 
• Symptom Checker 

Patient Education

• Asthma: Breathing Easier booklet 
• Asthma: Breathing Easier booklet - How to Use a Nebulizer 
• Asthma: Breathing Easier booklet - Symptoms and Triggers 
• Asthma: Breathing Easier booklet -How to Use a Press and Breathe 
• Quitting Tobacco: Your journey to freedom 

Patient Education

• Depression handout 
• Mental Health and a Healthy Heart 
• Suicide Prevention 

Patient Education

• Accutane Handout 
• Immunotherapy 
• Sun Protection 

Patient Education

• Aspirin Therapy for Adults with Diabetes 
• Carb Counselor: Advice and Tools for Counting Carbs pocket guide 
• Diabetes Care Card 
• Diabetes Care Handbook: Living Well with 
• Diabetes Medication: Glitazones  
• Diabetes Medication: Meglitinides 
• Diabetes Medication: Sulfonylureas 
• Diabetes Medications: Glucagon 
• Diabetes Medications: Insulin 
• Food Finder and Meal Plan Basics handout 
• Gestational Diabetes 
• Gestational Diabetes Meal Plan 
• Pre-diabetes: Act Now to Protect Your Health 

Patient Forms

• Vanderbilt ADHD Parent Rating Scale 
• Vanderbilt ADHD Teacher Rating Scale 

Patient Education

• Adult ADD Evaluation 
• Earaches in Children 
• Influenza Q and A 

Patient Education

• BP Basics: What You Need to Know to Manage Your Blood Pressure booklet 
• BP Tracker: A Tool for Keeping Track of Your Blood Pressure  
• High Blood Pressure and the DASH Diet 

Patient Education

• Influenza Q and A 

Patient Forms

• Adult Baseline Evaluation Packet 
• Adult Follow-up Evaluation Packet 
• Child/Adolescent Baseline Evaluation Packet 
• Child/Adolescent Follow-up Evaluation Packet 
• School Baseline Evaluation Packet 
• School Follow-up Evaluation Packet 

Patient Forms

• Boy Scout Physical Form 
• Mental Health Integration Form 
• SCARED Anxiety Screen 
• Utah High School Physical Form 
• Vanderbilt ADHD Parent Rating Scale 
• Vanderbilt ADHD Teacher Rating Scale 

Patient Education

• About the Flu Vaccine 
• Child Safety & Car Seats 
• Croup 
• RSV 

Web Resources

• KidsCare (Bountiful KidsCare & more)