You may download your pre-registration form here. Completing the information prior to your scheduled visit will save you time on the day of your appointment; insurance will have been verified and your most current information will have been updated at NPMC.
Forms may be faxed to the attention of Terri Baker at (501) 620-2489
Or, mailed to:
National Park Medical Center
Terri Baker, Business Office
1910 Malvern Avenue
Hot Springs, AR 71901
Because general Internet email is inherently not a secure form of communication, we highly recommend that you not communicate any information that is confidential or private in nature via this form.