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Patient Portal

1

New Patient Paperwork

Click the link below to edit your new patient paperwork electronically or print to fill out. New patient intake must be complete prior to being scheduled for your first appointment.

Please complete & return to our clinic or email to newpatient@cpwfortsmith.com

Please include a copy of your photo ID and Insurance card

2

Existing Patient

If you are an existing CPW patient you will be able to access documents, read clinic updates, and set up your patient portal using the link below. 

3

Medication Refill Request

​Please use the form below to request a medication refill for your psychiatric prescription. We will review your request and contact you to confirm the details. Please allow up to 48 hours for processing.

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