New Patient Form | Health History
Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment.
Instead, contact our Gould clinic at (870) 263-4317 or Dumas clinic at (870) 382-4878. After you submit your request, our appointment scheduler will respond within 48 hours. Established patients may log in to the patient portal to request appointments and update forms.
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