Parent Information & Forms
We're delighted to have you join us on your journey towards improved well-being. As a part of our commitment to providing you with seamless and efficient care, we've made accessing our patient forms a breeze. To ensure your appointment is as smooth as possible, we encourage you to complete the necessary documents prior to your visit. You can find all the required forms conveniently located on this page. Once you've filled them out, you have the option to either email them to therapyservicesnwa@gmail.com or bring them along to your appointment. This small step will allow us to better understand your needs from the very beginning, ensuring that we can focus on what matters most – your health and progress. Thank you for choosing Therapy Services, and we look forward to assisting you on your path to wellness.
New Patient Consent FormNew Patient Information SheetSocial History FormSocial Media Release FormARKids First is a comprehensive health insurance initiative extending coverage to numerous children statewide. Encompassing essential services such as well-child checkups, eye examinations, dental assessments, and beyond, it serves as a vital tool in nurturing the health of Arkansas's youth. If you seek dependable health coverage for your children, ARKids First may hold the solution you're seeking.
Apply for ARKids CoverageThe Tax Equity and Fiscal Responsibility Act (TEFRA) stands as a Medicaid initiative specifically designed to aid families with children under the age of 19 who face disabilities and opt for home-based care over institutionalized settings. This program assists in covering the expenses associated with such services for qualifying children. While some families may qualify for full coverage without any financial obligation, others contribute through a sliding-scale premium based on their income. Notably, children residing in institutions or undergoing extended institutional care do not meet the eligibility criteria for TEFRA benefits.
Apply for TEFRA Coverage