Patient Resources

Patient Forms

• Adult Health History Form 
• Patient Information Form - English 

Web Resources

• 2-1-1 Information and Referral 
• Intermountain Healthcare Health Resources by Topic 
• IntermountainLiVE.org 
• My Health 
• Personalized Primary Care 
• Symptom Checker 

Patient Education

• ADHD: Attention Deficit Hyperactivity Disorder (by Dr. J. Timothy Duffy, MD) 

Web Resources

• Angel's Hands Foundation  
• DSPD (Division of Services for People with Disabilities) 
• Family to Family Network 
• National Dissemination Center for Children with Disabilities (NICHCY) 
• Utah Family Voices 
• Utah Medical Home Portal 
• Utah Parent Center 
• Utah Parent Center Training 

Web Resources

• Angel's Hands Foundation  
• CHIP: Children's Health Insurance Program 
• Disabled Children's Relief Fund 
• NeedyMeds 
• Patient Access Network (PAN) 
• Patient Advocate Foundation 
• Patient Services, Inc. 
• Social Security: Apply for Children's Disability Benefits 
• United Healthcare Children's Foundation 

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 

Web Resources

• Allies with Families 
• NAMI Utah (National Alliance on Mental Illness)