APC Important Forms

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

Dr. Bennett: New Patient Forms

Dr. Bowling: Adult New Patient Forms

Dr. Bowling: Child/Adolescent New Patient Forms

Dr. Davis: New Patient Forms

Drs. Forrest and Molden: New Patient Forms

Celeste Lee, APRN: New Patient Forms

David "Adam" Steinfeld, APRN: New Patient Forms

Jessie Stuckey, APRN: New Patient Forms

Sha Murphy, APRN: New Patient Forms

Rose Brand: Consent for Animal Assisted Therapy

Rose Brand, Christy Hilburn, Nichole Ward, and Brandon Wolfe: Adult New Patient Forms

Rose Brand: Child New Patient Forms

Nichole Ward and Brandon Wolfe: Child 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

We Value Your Privacy

We and our third-party service providers may use cookies and similar technologies to improve services, enhance your experience, and support healthcare operations.

By clicking “Accept All”, closing this banner, or continuing to use the site, you agree to this use of information. Manage preferences or opt out via “Preferences”. See our Privacy Policy for details.

Accept All