479-922-9355 479-922-2047 30 Northridge Drive, Van Buren, Arkansas, 72956
SCHEDULE APPOINTMENT CLIENT PORTAL

New Patient Documents

Please download, complete, and bring these forms to your first appointment

At Hamby and Hamby Family Medical Clinic, we strive to make your first visit as smooth and efficient as possible. To help us provide you with the best care, please download and complete the following forms before your first appointment. This will help reduce your waiting time and ensure we have all the necessary information to best address your healthcare needs.

If you have any questions about these forms or need assistance completing them, please don't hesitate to contact our office at 479-922-9355.

Patient Information

Basic personal and contact information for new patients.

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Financial Policy

Our financial policies and payment procedures.

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HIPAA Release

Authorization for release of protected health information.

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Authorize to Disclose

Authorization to disclose health information to designated parties.

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Authorization to Disclose - Information

Information about Authorization Disclosure

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Additional Resources

Helpful information for our patients

We've compiled a selection of resources to help you better understand your health and the services we provide. These materials include educational information about common conditions, preventive care guidelines, and details about what to expect during your visits with us.

For specific questions about your health or treatment plan, please contact our office directly.

Medication Refill Policy

Learn about our procedures for requesting prescription refills.

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Appointment Preparation

How to prepare for your visit to maximize your appointment time.

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Insurance Information

Details about insurance plans accepted and billing procedures.

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Questions About Your Forms?

If you have any questions about completing these forms or need assistance, please don't hesitate to contact our office. Our staff is ready to help ensure you have everything you need for a smooth first visit.