Patient Forms

New Patients

Therapy Tree accepts referrals from Parents, Doctors, Children’s Developmental Services, Health Departments and other agencies serving children in Northwest Arkansas. Find out what information we need from you to get started

To get started, please call 479-301-5754. Some basic information will be gathered from you during this phone call. We will also need:

    • A prescription order of referral from your child’s primary physician. You may get this yourself, or we can request it from your child’s physician.
    • A copy of your primary insurance card and/or your child’s Medicaid card. If you child is covered under your insurance AND has Medicaid, please send both cards. Medicaid requires that we bill the primary insurance first before they will pay for services.
    • Completed and signed New Patient Form

Once we get all of the appropriate information, we will assign a therapist to your child. The therapist will call you to set up your child’s first appointment. It is that simple! We look forward to serving your child and your family!

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