Patient History Forms

To prepare for your appointment, select the provider you will be seeing and print the associated patient history form. Please fill out prior to your appointment. 

Copies of medical records that are sent directly to health care providers and directly to patients will be provided at no charge. A fee may be applied for all other requests. OrthoArkansas utilizes Sharecare as our Medical Records outsourcing vendor.

If you wish to receive a copy of your medical records:

Please click on the access form button and complete the Request of Information form. This form can be printed and mailed to OrthoArkansas (800 Fair Park Blvd, Little Rock, AR 72204) or faxed to 501-500-3550

Request for Same Day Medical Record Copies

For same day retrieval of records or images, you can bring the form with you to our Midtown location or forms will be provided in the office.

Spanish Interpreter Request

If you speak Spanish, language assistance services are available to you free of charge. Call (501) 503-2533 or request online.

¡ATENCIÓN! Si usted habla español tenemos disponible servicios de interpretación gratuitos. Llame al (501) 503-2533 o solicítelos en nuestra página web.