Patient Forms

The following forms are required for treatment at Implants Northwest. Please review and fill out prior to your first consultation. 

Patient Information

Office Locations:

Coeur d'Alene Office:

1859 N Lakewood Dr., #101
Coeur d'Alene, ID 83814
208-667-5565 | fax 208-765-9633

Sandpoint Office:

123 South 3rd Ave., Ste. 4
Sandpoint, ID 83864
208-255-5667 | fax 208-255-5665

Implants Northwest proudly serves Coeur d’Alene, Post Falls, Hayden, Hayden Lake, Sandpoint, Bonners Ferry, Rathdrum, St. Maries, Kellogg, Wallace, Spirit Lake, and Priest River, ID as well as Liberty Lake, Spokane, Spokane Valley and Newport, WA.

Implants Northwest, Dr. Daniel Cullum, Logo