Patient Forms

Not covered by any of these plans? Contact us and we will find the best solution to suit you.  

NEW PATIENTS

Download the forms from the Healthy Connections website and complete them before your first visit.

Health For Life Clinic, PLLC

1100 N University Ave, Suite #260

Little Rock, AR 72207

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Emergency: Dial 911

This health center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals.

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