Patient Information

Our Office Policies

We have your convenience in mind. We have downloadable links for New patient application forms for both Forrest City and Earle offices and also a medications list. You must fill out all required fields completely and accurately and submit it at either offices, the Forrest City Office or fax to 870-630-2224, or Earle Office or fax to 870-792-8834. Please bring all your health insurance cards, medications, a picture ID and your source of payment. This will ensure that you are seen as quickly as possible when you arrive for your appointment. If you have any questions call our office at 870-630-2233 for Forrest City and 870-792-8825 for Earle office. 

Office Hours

For information or to schedule an appointment, please call us at 870-630-2233.

Appointments/Cancellations

With the exception of serious emergencies, it is expected that you keep all of your appointments. If you need to reschedule an appointment we require 24 hours notice. In such a case, please call our office and arrange for a make-up appointment with one of our patient care coordinators.

To schedule an appointment please call us at 870-630-2233. If you are a new patient, please have your medical information and medications ready and be ready to provide your insurance information and personal demographic data. 

Emergencies

Our office provides on-call service for emergencies. Call 870-630-2233 so that the physician on call can be contacted.

Our after-hours direct number is 855-982-0997. One of the providers in the group is always available for advice or care for true Internal Medicine emergencies. After office hours, you may also call the office number 870-630-2233 and our our answering service will take your message and immediately contact one of our providers. Our telephone number is answered 24 hours a day, 7 days a week.

Payment

The Internal Medicine of Forrest City accepts cash and personal checks as well as the following credit cards:

• Visa
• MasterCard
• American Express
• Discover
• Personal Check

We make every effort to decrease the cost of your medical care. Therefore, we request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. We accept cash, checks, MasterCard, Visa, and Discover for your convenience. If we are a participating provider of your insurance company, we will bill them. However, payment is the patient's responsibility. We will help in any way we can to assist you in handling claims.

Patient Forms

The Internal Medicine of Forrest City provides our patients with a downloadable 'clinical info form" for your convenience. We recommend you print and fill this form prior to your appointment to save time.

• Patient Registration
• Medical History
• X-ray Records Release
• HIPAA Compliance
• Consent
• Financial Agreement

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.

hx and info.doc

hx and info.doc

earle patient hsitory.docx

fc patient history.docx

fc patient history.docx

medications list.docx

medications list.docx