Email the Following Info to firstname.lastname@example.org
- Client's name (If Couple's Counseling, Use Insured's Name)
- Age of client
- Parent or Legal Guardian Name (Please Indicate Which You Are. For Minors Only)
- Phone Number
- Email Address (Each Individual Client Account Must Have Separate Email Address)
- Payment Source: Insurance Company Name or Indicate "Self-Pay"
1. You'll Receive an Email with Detailed Instructions & Link to Complete all Info Online.
2. Complete All & Return.
3. Online Scheduling Will Be Activated. You'll Be Notified.
Step 1 - Call our office at 501.249.4989 to request the online paperwork to be sent to your email address. We'll gladly answer any questions you have.
Step 2 - Schedule an appointment after completing necessary paperwork.
Step 3 - Succeed. We will help you or your loved one achieve success and happiness.