Important Forms

APC Important Forms

Please use the forms below to help make your visit to Arkansas Psychiatric as efficient and helpful to you as possible.

Adult Pre-Visit Questionnaire

Dr. Bennett: New Patient Form

Dr. Davis: New Patient Form

Dr. Bowling - Adult New Patient Form

Dr. Bowling – Child/Adolescent New Patient Forms

Drs. Forrest and Molden: New Patient Forms

Sha Murphy: New Patient Forms

Rose Brand, Nichole Ward, Sarah Lowery: Adult Intake Form

Rose Brand and Sarah Lowery: Child Intake Forms

Nichole Ward: Child Intake Forms

Rose Brand: Consent for Animal Assisted Therapy

David Steinfeld New Patient Forms

APC New Patient Forms

APC New Patient Forms – Minors

Disclosures and Additional information:

Your Rights and Protections against Surprise Medical Bills

APC Privacy Practices & Financial Policy

Missed Appointment and Late Cancellation Policy

Authorization for Release of Health Information

Beacon Behavioral Health: Your Rights & Protections Against Surprise Medical Bills

Beacon Behavioral Health: Discrimination is Against the Law

Beacon Behavioral Health: Notice of Privacy Practices

Request an Appointment

First Name *

Last Name *

Date of Birth *

Phone *

Email *

Please select a service. *

How did you hear about us? *

I consent to receive SMS and Emails about my care *

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