patient info

We provide our patient forms online so that you may complete them in the convenience of your own time. 

You may fax them to our office at (501) 450-7718 or you may bring them with you to your appointment. 

 If you do not already have AdobeReader® installed on your computer, Click: Adobe PDF icon to download. 

Office Service Billing

Our fees are within the customary range for this area and reflect the level of care you will receive and the high level of training required to provide this care. Charges are billed according to services rendered. We have standardized fees for these services.

Your insurance contract is an agreement between you and your insurance carrier. We have found that it has become exceedingly difficult to remain knowledgeable on all the policy guidelines for the multitude of insurance companies that exist in our area. Therefore, it is our policy that we will file insurance with the companies that we are contracted with. Below is a list of the companies:


If you have insurance with one of the above carriers, we will file insurance for you. As required by insurance carriers, you are responsible for the payment of any co-pay, deductible, coinsurance &/or non-covered services at the time services are rendered. For your convenience we accept cash, check, VISA, MASTERCARD, DISCOVER & AMERICAN EXPRESS.

If you have coverage with an insurance company not listed above, we will file insurance for you ONLY if an estimate of benefits can be obtained prior to services rendered. If an estimate of benefits cannot be obtained prior to services rendered, you will be responsible for any services rendered at the time of service. Once your insurance company processes your claim, any overage will be refunded at that time. If you have no insurance, you will be responsible for payment at the time services are rendered unless prior arrangements have been made.

TIME SAVER TIP: Keep your mood light & your blood pressure low by getting your medical claims processed correctly the first time! Be sure to:

  • Contact your insurance carrier prior to your visit to ensure that they have all information needed to process your claim. i.e., other insurance information, student status, etc.
  • Contact your insurance carrier prior to your annual well-woman examination for any policy limitations.
  • Bring your current insurance card to every visit.

If you are uninsured or experiencing financial difficulty, please call our billing department at (501) 450-3920 to discuss financial arrangements and cost estimates.

Surgical Billing

Once the decision is made for surgery, our billing staff will contact your insurance company and obtain an estimation of benefits. Our billing staff will then contact you with the estimate. Payment in full is required 1 week prior to the surgery date. Payment by check is only allowed if paid 2 weeks in advance.  Please note that an estimate of benefits is not a guarantee of payment, therefore, any differences can be settled after the claim has processed. Also, be aware that there will be separate charges billed to you from Conway Regional Medical Center and Anesthesia Associates.

Obstetrical Billing

Congratulations! We are delighted to be a part of this very special time in your life. We will strive to make your insurance &/or payment hassles as few as possible. Your cooperation is very important in order to obtain accurate information, benefit verification and claim forms when your insurance company requires them. We ask that you keep us informed of any insurance changes during your pregnancy as well as any deductible changes due to outside visits.

Fees for OB care are based on an estimate of benefits from your insurance company & include global billing, all routine laboratory tests and ultrasounds. These services expand over a 7 month time period and are subject to change if complications arise. Global billing includes all routine OB visits, delivery and your post partum care. All maternity patients will be put on a monthly payment plan. We require that the estimate of services be paid by your 36 week visit. All estimates and payment arrangements will be discussed in detail at your initial OB visit with Emilee from our billing office. Please note that an estimate of benefits is not a guarantee of payment, therefore, any differences can be settled after all claims have been processed. Also, be aware that there will be separate charges billed to you from Conway Regional Medical Center and Anesthesia Associates (if you have an epidural or c-section). 

At Conway Women’s Health Center, we are firmly committed to our patients and their families by providing high quality care with respect and compassion. We understand that everyone has different needs and expectations and we will meet those to the best of our ability.

To achieve our goal, we continually evaluate to improve our services and facilities and offer the latest technology when it has a positive impact on our care. We will never put our own self-interests ahead of those of our patients and will act in a just and ethical manner.

Our next responsibility is to our employees and our extended “family.” We strive to provide a fair and safe working environment; also recognizing and respecting each staff member as an individual with their own strengths.

Conway Women’s Health Center will continue to support improvements in the health and education of our community, as well as continue to recognize those whose good works elevate our community and its citizens. 

Our Patient Portal Link is a secure web portal powered by Intuit Health. We invite you to create a new online account or log in to your online account. There you will be able to make appointment requests, request a prescription renewal, access needed health forms, pay your bill or ask question(s).