PATIENT PORTAL DR. ROSS BRUNETTI RATED BEST FAMILY PHYSICIAN We are excited to share that our very own Dr. Ross Brunetti has been named Best Family Physician 2021 by Salt Lake City Weekly in this year’s Best of Utah Body and Mind! Read the full article here. Congratulations, Dr. Brunetti! Post navigation COVID-19 VACCINES AVAILABLE Foothill Family Clinic Named Best Family Practice Clinic HOME ABOUT US OUR PROVIDERS TELEHEALTH SERVICES PATIENT RESOURCES PAY YOUR BILL CONTACT US PATIENT PORTAL PATIENT SERVICES PATIENT PORTAL TELEHEALTH BILL PAY FOLLOW US ON SOCIAL MEDIA: QUICK LINKS EMPLOYMENT OPPORTUNITIES LOCATIONS GENERAL HEALTH RESOURCES © 2021 FOOTHILL FAMILY CLINIC. ALL RIGHTS RESERVED.

PATIENT PORTAL PATIENT FORMS You may download, print, and complete the appropriate form(s) shown below to bring with you to your appointment. Please contact us if you have any questions about completing forms. Financial Agreement Financial Agreement Form (.pdf) Male History Male History Form (.pdf) Medical Record Release Form Medical Record Release Form (.pdf) Migraine Headache Pre-Treatment Form Migraine Headache Pre-Treatment Questionnaire (.pdf) New Patient History Form New Patient History Form (.pdf) Patient History Update Patient History Update Form (.pdf) Personal Representative Personal Representative Form (.pdf) HOME ABOUT US OUR PROVIDERS TELEHEALTH SERVICES PATIENT RESOURCES PAY YOUR BILL CONTACT US PATIENT PORTAL PATIENT SERVICES PATIENT PORTAL TELEHEALTH BILL PAY FOLLOW US ON SOCIAL MEDIA: QUICK LINKS EMPLOYMENT OPPORTUNITIES LOCATIONS GENERAL HEALTH RESOURCES © 2021 FOOTHILL FAMILY CLINIC. ALL RIGHTS RESERVED.

PATIENT PORTAL ACCOUNTABLE CARE ORGANIZATION Foothill Family Clinic is committed to creating a better healthcare experience for our patients by working in a more collaborative system. Shared accountability creates a framework to meet medical needs in a more efficient and effective manner. Being a member of an accountable care organization ensures that our patients are receiving the highest quality of services at all levels of care, from treatment to cost considerations. It is our belief that communication and broad spectrum accountability serve as the cornerstone in improving healthcare experiences for patients. In the spirit of improving patient experiences, we participate in a collaborative Shared Accountability Program with Adelade. We also participate with several other payer systems in Shared Accountable programs where providing high quality care and shared cost saving benefits are the goal. HOME ABOUT US OUR PROVIDERS TELEHEALTH SERVICES PATIENT RESOURCES PAY YOUR BILL CONTACT US PATIENT PORTAL PATIENT SERVICES PATIENT PORTAL TELEHEALTH BILL PAY FOLLOW US ON SOCIAL MEDIA: QUICK LINKS EMPLOYMENT OPPORTUNITIES LOCATIONS GENERAL HEALTH RESOURCES © 2021 FOOTHILL FAMILY CLINIC. ALL RIGHTS RESERVED.