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Become a New Patient

CABUN Rural Health Services looks forward to having you join our many satisfied patients. For an appointment, please call the location nearest you. To request an appointment online, please use our online appointment request form.

Once you have made your initial appointment, you may pre-register by downloading the new patient forms below. Please print and complete the new patient registration packet and financial forms prior to your arrival. This will help speed up the new patient registration process and cut down on your time in the waiting room.

  • New patient registration package - English
  • New patient registration package - Spanish

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 Reader for free by clicking on the icon below.

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402 South Lee Street, P.O. Box 1196, Hampton, AR 71744 | (870) 798-4299 | Fax: (870) 798-2403

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The providers at CABUN Rural Health Services in Arkansas, offer affordable medical services including Family Medicine, Pediatric Wellness & Care, Women's Health, Dental Care, and Behavioral Health.