Patient Information

Patient Forms

Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the Mainline Health patient forms. Please be sure to bring them with you to your first visit.

Insurance/Payment/Billing

At Mainline Health Systems, we accept Medicare, Medicaid, and most major insurance plans except Medicare Advantage. Please contact your insurance company or you may call our center at (870) 538-5414, ext. 1 to find out if we accept your insurance plan. We also offer a Financial Assistance plan.

If your insurance plan requires you to pay a co-payment, co-insurance, and/or a deductible, you may need to pay at the time of your visit. For your convenience, we accept cash, checks, Visa, MasterCard, Discover, and American Express.

If you have a question related to your bill or insurance, please contact our billing specialists at (870) 538-5414, ext. 1.

Medical Emergencies

In the event of a life-threatening medical emergency, call emergency medical services at 911 immediately. DO NOT WAIT! Inform the emergency room staff that you are a patient of Mainline Health and they will contact us.

Referrals

If one of our doctors suggests a specialist evaluation or diagnostic testing that requires a referral, we will make every effort to provide this for you as soon as possible. Some referrals require insurance preauthorization and cannot be processed immediately. Insurance guidelines prohibit us from backdating referrals. We require three business days for the processing of routine referrals.

Hospital Affiliations

Mainline Health Systems, Inc. has hospitalist agreements with Ashley County Medical Center, Bradley County Medical Center, Chicot Memorial Hospital, Delta Memorial Hospital, and Jefferson Regional Medical Center.

Prescription Requests

Prescriptions and refills for established patients of Mainline Health are routinely issued Monday through Thursday between the hours of 8 am and 5:30 pm and Friday between 8 am and 12 pm. You can make your request by calling the Mainline Health location you typically visit. It is helpful to anticipate your refill needs to avoid an interruption in your medication therapy.