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Harrison, Arkansas: (870) 741-0016  
New Patient Forms & Information

Patient Forms
All documents require Acrobat Reader in order to view and print. These forms can be printed and filled out and brought into the initial visit.
Patient Information
Medical History
Health Information Release Form

Your First Visit

At Premier Family Care we are dedicated to making your medical care experience as stress free as possible. We make it easy for you to fill out the patient forms and bring them in to your appointment. After you fill out the forms, all you have to do is show up for your appointment.

During the exam, the respect continues by listening to your concerns and answering your questions. I limit any interruptions in the exam room to a bare minimum. 

Out of respect for you and your time, I offer full lab and xray services on-site here at our clinic. 

After your visit our respectful and courteous staff might contact you regarding lab or test results or to inform you of scheduled referral appointments.

We look forward to serving you.....

Billing & Insurance

We accept most commercial insurance plans and worker's compensation. Patients without medical insurance are also welcome, however, the clinic is not able to extend credit and payment for services is expected at the time of service. We are currently NOT accepting new Medicare or Medicaid.
Premier Day Spa provides high-end aesthetician services in a caring, upscale, professional environment.
See what your friends and neighbors are saying about the care they receive at Premier Family Care.
To save time, patient forms may be printed and completed and brought to the initial visit. This information will allow us to serve you better.