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, and Nichole Ward: Adult New Patient Forms

Rose Brand: Child New Patient Forms

Nichole Ward: Child Intake Forms

Provider Request for Release of Information

Patient Request for Release of Information

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

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