Exam

Request an Appointment

Please fill out the form below to request an appointment at Grant Creek Family Medicine. Once received, we will contact you within 2 business days. If you need to speak to someone immediately or if you do not hear back from us in the next 48 hours, please call (406) 327-1850. If this is a medical emergency, please dial 911.


Select one: New Patient    Current Patient

Reason for Appointment (Be specific and detailed) I want to receive email updates about Providence Medical Group Value of QS Value of PR
Name of patient Patient's date of birth Parent or Guardian
Email address Patient's insurance Telephone number
In addition to yourself, would you like to schedule any family members to receive care at our clinic?
Yes No
For each additional family member please be sure to include their name and birthday


Desired Provider
No Preference - First Available
Brandon Cycholl, MD
Claire Francoeur, APRN
Jamie Granger, APRN (not currently accepting new patients)
Fred Westereng, PA-C
Jeffrey Lindley, MD (not currently accepting new patients)
Rob Stenger, MD
Andrea Vannatta, MD
This form will be encrypted to protect your confidentiality.

This form will be encrypted to protect your confidentiality.