Choose up to 5 concerns so your Legacy provider can prepare for your appointment.

Your service matters, and so does your well-being. This short form helps us confirm eligibility for the BTL Cares Firefighter Initiative and schedule your visit.

No obligation—just a simple first step toward mental and physical recovery.

Full Name *

Date of birth *

Phone Number *

Email *

Fire Department *

Postal Code *

Serving Boise, Meridian, and Eagle