We are excited to help you on your journey to better health. Please print and fill out the form to the best of your ability. Provide as much information about you and your symptoms so that we may assist you in your health needs.
If you have current lab work (within the past year) please bring a copy with you to your appointment, not only is this helpful, but it can also save you money.
Please bring a list of your current medications, supplements and vitamins.
Integrative Medical Center of Arkansas | (501) 773-6318 | All Rights Reserved
2001 Club Manor Drive, Suite D | Maumelle, Arkansas 72113