Parent Information and Forms

Therapy Services of Northwest Arkansas

Parent Information and Forms for Your Convenience

Therapy Services of Northwest Arkansas is delighted to have you join us on your journey toward 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 out the necessary forms, 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 of Northwest Arkansas, and we look forward to assisting you on your path to wellness. Feel free to reach out to us with any questions.

New Patient Consent Form

New Patient Information Sheet

Social History Form

Social Media Release Form

Apply for ARKids First Coverage

ARKids 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 First Coverage

Apply for TEFRA Coverage

The 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 TERFA Coverage

Learn More About

Therapy Services of Northwest Arkansas

Located in Harrison and Berryville, AR, Therapy Services of Northwest Arkansas specializes in pediatric speech, occupational, and physical therapy services. Specialized, one-on-one care. Discounts available for private pay patients. HSA, FSA, and insurance accepted. Call us today.

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