New Client Intake Form - Therapy 4 Kids
Thank you for your interest in Therapy 4 Kids.
Before we perform an evaluation or provide treatment you must fill out the information below. After we receive the below information our clinic will request a prescription from your child's doctor.
Medicaid - ARkids covers the cost of therapy. If you have another type of insurance you can check out our rates at Therapy4kids.net/rates. You will also find our privacy practices and notice there.
If you have any questions or concerns do not hesitate to call or text message us at 501-581-6045.