Patient Portal Access Request

Patients who were registered for the original Patient Portal prior to April 10, 2014, must request an invitation to register for the NEW Patient Portal. Please submit the required information below to request access to our Patient Portal.

Please allow at least a 24 hour response time during business hours.  If you need access sooner, please call (501) 450-3920 during our normal business hours.

In the form of XX/XX/XX