Authorization to Use and Disclose Health Information Form
Idaho Independent Assessment Services Program
8850 W. Emerald St. – Suite 164 | Boise, ID 83704 | 208.258.7980 | FAX: 208.258.7985
Developmental Disability Services
Contact Us
Postal Address
155 2nd Ave N # 209,
Twin Falls, ID 83301
P.O. Box 2773