Forms

We look forward to your upcoming visit with the Northwest Arkansas Clinic for Families! We have provided a printable version of the registration forms in English and Spanish. Please take the time to fill them out before your visit.

Another form provided is the Authorization for Disclosure of Health Information. This form can be used to retrieve medical records from your previous doctors, release information to new doctors, or provide access to information for family members and friends.

New Patient Registration Form

New Patient Forms (English)
New Patient Forms (Spanish)

Authorization to Disclose Health Information

Information Disclosure Form