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Arkansas Psychiatric Clinic

Arkansas Psychiatric Clinic

  • Services
    • Psychiatric Medication Management
    • Psychotherapy
    • TMS
    • Ketamine Infusion Therapy
    • Spravato
    • Electroconvulsive Therapy Treatment (ECT)
  • Our Providers
    • Leigh Anne Bennett, M.D.
    • James Davis IV, M.D.
    • Jeff Palmer, M.D.
    • Robert Jarvis, M.D.
    • Ivanjo Aldea, M.D.
    • Raymond Molden, M.D.
    • Robert Forrest, M.D.
    • Mari Bowling, M.D.
    • Sha Murphy, APRN
    • Christianne Hilburn, LCSW
    • Jennifer Patterson, LCSW
    • Rose Brand, LCSW
    • Billy Henley, LCSW
  • About Us
    • Articles
    • FAQs
    • Important Forms
  • Referring Doctors
  • Contact Us
  • Call Now (501) 448-0060
  • Call us anytime 678.990.0924
Call Now! (501) 448-0060

Important Forms

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.

Dr. Bennett: New Patient Form

Dr. Davis: New Patient Form

Dr. Sherrill: New Patient Form

Dr. Bowling - Adult New Patient Form

Dr. Bowling - Child/Adolescent New Patient Form

Drs. Forrest and Molden: New Patient Form

Sha Murphy: New Patient Form

APC New Patient Form 

APC Minor Consent to Treat Form

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

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    Get in Touch

    Address:
    4 Executive Center Court
    Little Rock, AR 72211
    Phone:
    501-448-0060
    Fax:
    501-448-0066
    Social:

     

     

    Office Hours

    Monday – Thursday
    8:00AM – 5:00PM
    Friday
    8:00AM – 4:30PM
    Saturday – Sunday
    Closed

    All Rights Reserved.