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East Arkansas Family Health Center, Inc.

Face masks are required before entering all EAFHC health centers. We are closely monitoring the Coronavirus or (COVID-19) and would like to ask if you are experiencing a cough, shortness of breath and fever, please call our health centers before coming so the appropriate care can be delivered in the most effective manner. During the COVID-19 pandemic, we strongly encourage Social-Distancing of six feet and hand washing for 20 seconds.

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Your First Visit

Insurance & Patient Care AR

Insurance - East Arkansas Family Health Center - Arkansas
Welcome to East Arkansas Family Health Center, Inc. We look forward to serving you. To prepare for your first visit, please review the insurance and payment information below, as well as what to bring for eligibility.

Insurance/Payment

East Arkansas Family Health Center, Inc. welcomes all private-pay, fully and partially insured, Medicaid, and Medicare patients. For patients without insurance, we offer a sliding fee scale based on income and family size to ensure that quality, compassionate health care is readily accessible to everyone.

If you have insurance:
If your insurance plan requires you to pay a co-payment, co-insurance, and/or a deductible, it will be necessary to pay at the time of your visit. Payment will also be required for all non-covered services. For your convenience, we accept cash, Visa, MasterCard, and Discover.

If you do not have insurance:
We believe that quality health care should be available to everyone, whether or not you have health insurance. If you are uninsured, you may be eligible for various programs as listed below, if you meet the income requirement:

  • Medicaid
  • ARKids First
  • AR Seniors
  • SOBRA-Pregnant Women
  • Family Planning

Our Medicaid Outstation Worker is available to help you and your family with these programs and other available resources. Help us help you – do not miss out on health coverage you are eligible for.

Our Fees:
We maintain an established fee schedule for all medical and dental services provided. The fee schedule is reviewed annually by the EAFHC board of directors to ensure sound financial advantage to our patients, and to ensure that the fees are consistent with community standards.

Sliding Fee Scale:
Our sliding fee scale offers significant discounts to individuals and families who qualify on the basis of income and family size.

What to Bring for Eligibility

When you visit any of our East Arkansas Family Health Center locations, you will need to bring the following items with you for payment or to determine your eligibility for a discount on services:

  • Insurance card / proof of insurance
  • If you do not have insurance, you need to bring $50 to your office visit
  • Two forms of identification (i.e., a driver’s license, state ID, social security card, or birth certificate)
  • Proof of income to include one of the following documents:
    • 1040 tax return from the previous year
    • W-2 form (must bring social security cards for all dependents with this form). This form is valid until April 15 of each year.
    • Two of your most recent, consecutive pay stubs
    • Unemployment statement
    • Most recent social security award letter
  • Social Security 1099 form for previous year
  • Food stamp verification form
  • A notarized letter from your employer stating how much you are paid (hourly, weekly, etc.)
  • A notarized letter from a family member stating how much money they give you

New Patient Forms

If you are a new patient, you may download and complete the new patient forms prior to your appointment, which will save you time in the office. Please be sure to bring all forms with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician.

Interactive Forms:

  • New Patient Registration

Download forms:

  • New Patient Registration
  • Health History

Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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As a nonprofit organization providing medical and dental care for underserved residents of Crittenden, Poinsett, Mississippi, and Phillips counties, we welcome your contributions. Your tax-deductible contribution can help make a difference in the health and wellness of someone’s life!

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  • Patient Education

    We invite you to explore our comprehensive list of resources and educational materials designed to help educate you about the various family medicine conditions treated by this practice.

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    We are committed to providing the best in patient care. We appreciate hearing about your experience with us.

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This health center receives Health and Human Services (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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At East Arkansas Family Health Center, our compassionate medical physicians provide a comprehensive range of services including: primary care, women's health care, dental care, pediatric care, chronic disease management, HIV management, behavioral health, diagnostics and pharmacy, community services, and Ophthalmology.

  • Home
  • About Us
    • Board of Directors
    • Careers
    • COVID-19
    • Events
    • Back
  • Meet the Providers
  • Services
    • Primary Care
    • Women’s Health Care
    • Pediatric Care
    • Chronic Disease Management
    • HIV Management
    • Dental Care
    • Ophthalmology
    • Behavioral Health
    • Diagnostics & Pharmacy
    • Community Services
    • Back
  • Your First Visit
  • Contact Us & Locations
    • West Memphis, AR
    • Blytheville, AR
    • Earle, AR
    • Helena, AR
    • Lepanto, AR
    • Marvell, AR
    • Trumann, AR
    • West Memphis, AR – AIDS Care Center
    • Back
  • Patient Portal
  • Request an Appointment
  • Make a Donation
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