Patient Forms
Healthy Connections, Inc. provides medical, dental, and social services to people of all ages in Western Arkansas. Once you have made your initial appointment at Healthy Connections, you can pre-register online by clicking on the links for New Patient Forms below or download, print, and complete the forms prior to your arrival. Doing so will help speed up the new patient registration process at your first visit.
Interactive Forms:
Downloadable Forms:
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the Adobe icon.
Patient Forms
Healthy Connections, Inc. provides medical, dental, and social services to people of all ages in Western Arkansas. Once you have made your initial appointment at Healthy Connections, you can pre-register online by clicking on the links for New Patient Forms below or download, print, and complete the forms prior to your arrival. Doing so will help speed up the new patient registration process at your first visit.
Interactive Forms:
Downloadable Forms:
Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the Adobe icon.