Patient Portal

Check-In Forms

New Patient
Information Form

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Medical Information
Release Form

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Notice of Privacy Practices & Patient Rights Form

Download

Additional Forms

ADHD Exam Form

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Accepted Insurances

 

  • Aetna 
  • AmBetter
  • Arkansas Health & Wellness
  • Blue Cross Blue Shield
  • CIGNA
  • Coventry Advantra HMO/PPO
  • Evolutions Healthcare
  • Galaxy
  • Healthlink
  • Humana

 

  • Medicaid – Secondary
  • Medicare
  • Multiplan/PHCS
  • Municipal Health
  • PremierCare Direct Clients
  • Pyramid Life/Today’s Options
  • QualChoice
  • Tricare-Prime
  • Tricare-Select
  • Tricare-Standard