In any medical treatment, the first step is information-gathering. The more we know about you, your personal and family medical history, your current condition, and your current medical and drug therapies, the better we will be able to diagnose and treat your symptoms. That's why we ask you to fill out intake forms at your convenience.

Parent Forms

If desired, you may download our intake forms and fill them out prior to your first visit to the clinic. This will not only save time in the intake process.


We accept private pay or private insurance. We are providers for the following insurance.

MS Medicaid, Magnolia, Molina, UHC, MSCHips, Tncare, BlueCare, Amergroup, BCBS of MS, BCBS of TN, UHC and Debit/Paypal/Cashapp

If you don’t see your child insurance on the List please call current list subject to change

Leave us a Review

Purpose: I authorize the release of my health information which includes, photos, videos, medical documents for the following specific purpose:


For more information: Office Number: 662-874-6729 | Email us: |

Clinic Location: 800 Ohio Street, Clarksdale, MS (Inside Aaron E. Henry Community Center) | Hours: M-F 8AM-5PM