Forms & Info

At your first appointment you will be required to fill out forms with your personal and medical information. These forms include medical history, as well as patient privacy notifications.

If you would like to fill out these forms prior to your appointment, please pick up a copy of the paperwork at Plaza Internal Medicine, William L. Bradley Medical Plaza, 3 Appleby Road, Fayetteville, AR 72703.

Please take time to review all questions and thoroughly complete all forms. Providing an accurate record of your medical history is very important to the diagnosis and treatment of your health issues.

If you have questions or need assistance completing these forms, please notify the clinic staff upon arrival for your appointment. We will gladly assist you.