(870) 942-3000

Forms

Use the buttons on this page to download PDFs of our most common forms, so that you can print them out and fill them out before visiting our clinic. Read the descriptions and download the forms below.

NOTE: Most of these forms can be filled out digitally using the patient portal.

New Patient Paperwork Packet

This contains all of the forms needed for new patients

Cancellation/No Show Policy

HIPAA Form

History Form

Patient Demographic Form

Release of Medical Information

CONTACT US

 

The Winston Clinic, P.A.

506 Little Creek Rd

Sheridan, AR 72150

 

(870) 942-3000

Provider on-call by phone 24/7

CONTACT US

 

The Winston Clinic, P.A.

506 Little Creek Rd

Sheridan, AR 72150

LIKE us on Facebook 

https://www.facebook.com/thewinstonclinic

 

(870) 942-3000

Provider on-call by phone 24/7

HOURS

Monday – Thursday 8:00am to 5:00pm (Occasional Monday – Wednesday 7:00am to 7:00pm)

Friday 8:00am to 12:00pm (Occasional Friday afternoon availability)

Provider on-call by phone 24/7

Call today to schedule your wellness exam!

870-942-3000