The 11 Idaho forms that ask for a clinician's input, from the IHSAA sports physical and ITD 3392 placard to Medicaid prior authorization, POST and hunting permits.
This page lists the 11 Idaho forms that ask for a clinician's input, grouped by program. The ones you meet most are the IHSAA Pre-Participation Physical Examination and Consent for high school athletes and the ITD 3392, which certifies a patient for disability plates or a special parking placard under Idaho Code 49-117. Idaho Medicaid has prior authorization forms for home health and for surgeries and procedures, and DHW publishes the school immunization exemption form.
On the ITD 3392, a physician, PA or advanced practice professional nurse certifies, and a temporary placard runs 1 to 6 months with the expiration date you set. A medical exemption from school immunizations must be completed by a licensed physician. Home health PA requests need a signed, dated physician order, with no verbal orders or signature stamps. The POST isn't posted online; providers get it through the Idaho Healthcare Directive Registry. 3 forms here have a Spanish version, including the IHSAA physical.
Applies for disability license plates or a temporary (1-6 months) or permanent special parking placard, with medical certification that the patient meets Idaho Code 49-117.
Prior authorization request for Medicaid home health services, with the physician order and home health certification attached.
Prior authorization request for surgeries and procedures not reviewed by Idaho Medicaid's UM contractor (Telligen).
Physical examination and consent required before an Idaho high school student participates in IHSAA athletics.
Immunization Requirements Exemption Form, Preschool & K-12 (Spanish)
State form claiming a medical, religious or other exemption from Idaho preschool and K-12 immunization requirements.
Medical statement supporting a meal modification (disability-related diet, allergy, texture or substitution) in the USDA school meal programs (NSLP/SBP), as required by 7 CFR 210.10(m) and Section 504/ADA.
Medical documentation required by 7 CFR 246.10(d) for WIC to issue exempt infant formula, WIC-eligible nutritionals or non-contract formula, and to modify WIC foods, for a participant with a qualifying medical condition.
Medical orders for individuals with serious illness or approaching end of life covering resuscitation and scope of treatment; complements the advance directive.
Online report by a mandated reporter of suspected abuse, neglect, self-neglect or exploitation of a vulnerable adult (18+).
Doctor, PA or NP certification of a permanent disability (Idaho Code 36-406(g), 36-1101(b)) for a resident disabled combination or fishing license at reduced fee.
Doctor, PA or NP certification that the hunter has lost use of lower extremities/hands or cannot walk 200 feet unassisted (Idaho Code 36-1101(b)) for a permit to hunt from a motor vehicle.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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A licensed physician, physician assistant or advanced practice professional nurse completes the Medical Certification section on page 1 of the ITD 3392, confirming the patient meets Idaho Code 49-117. For a temporary placard, which lasts 1 to 6 months, the certifier gives a specific expiration date. The same form covers permanent placards and disability license plates. The applicant mails it to the ITD Special Plates Unit or takes it to a county office.
A licensed physician. The Immunization Requirements Exemption Form for preschool and K-12 has a medical exemption section that the physician signs. Parents can claim religious or other exemptions themselves, on the form or with any signed written statement. The completed form goes to the school or preschool. DHW publishes it in English and Spanish.
From the Idaho Healthcare Directive Registry. DHW doesn't post a public PDF of the Physician Orders for Scope of Treatment; providers get it through the registry, and anyone can request a copy from the registry. A physician, APRN or PA completes the orders with the patient, covering resuscitation and scope of treatment, and the form may be stored in the registry. Idaho Code 39-4512A governs it.
A physician, physician assistant or nurse practitioner. The Certification of Permanent Disability supports a resident disabled combination or fishing license at a reduced fee under Idaho Code 36-406(g). The BA-116 supports a permit to hunt from a motor vehicle for a hunter who has lost use of the lower extremities or hands, or can't walk 200 feet unassisted; practitioners licensed in the US or Canada may sign it. Both go to any IDFG office.