Download and complete your forms before your visit to save time at check-in.
Print and complete these forms at home. Bring the completed copy with you to your visit.
First time visiting Paragould Family Care? Cut down on your waiting time by having this form prepared and filled out before your visit. Covers personal information, insurance, medical history, and consent.
⬇ Download PDFSwitching doctors or transferring your records to Paragould Family Care? Fill out this form to authorize the release of your medical records from your previous provider.
⬇ Download PDFHave questions about the forms or need help completing them? Call us at (870) 236-4001 during business hours — Mon–Fri 8am–5pm, Sat 9am–12pm.
Download, print, and fill out your forms before your appointment. Saves time for you and our staff at check-in.
Bring the completed forms along with your photo ID, insurance card, and a list of current medications.
Our staff is happy to walk you through any form. Call (870) 236-4001 during business hours.
Download your forms, then call our office to schedule your visit.