New Patient Paperwork

Please click on the button below to access the New Patient Form. Click and submit when completed.

Your form will be waiting for download at our office on your first visit. Please inform the receptionist you have completed the New Patient Form online when you check in. We look forward to seeing in the clinic.

Do not hesitate to contact our office if you have any questions in regard to the New Patient Form.

New Patient Form

OFFICE HOURS


Monday
8:30am - 12:30pm
2:00pm - 6:00pm


Tuesday
8:30am - 12:30pm
2:00pm - 6:00pm


Wednesday
8:30am - 12:30pm
2:00pm - 6:00pm


Thursday
8:30am - 12:30pm
2:00pm - 6:00pm


Friday
8:30am - 12:30pm
2:00pm - 6:00pm


Saturday
Closed

Ark-La-Tex Health Center
1414 Arkansas Boulevard
Texarkana, AR 71854
(870) 773-7246