New Patient Paperwork

Please open, print and fill out this paperwork
prior to your first visit to save you time at the clinic.

(This last form is only for new patients that are under 18 years of age.)

Insurance and Cost

We accept most insurance including Medicare, Medicaid, Ambetter, Health Advantage, Cigna, Aetna, Arkansas Blue Cross Blue Shield, United Health Care, UMR, AllWell, and Coventry . You can call ahead to the office to have staff verify your benefits and determine the applicable co-pay or fees. Physical therapy requires a referral from a physician for all insurance. We also accept patients that do not have insurance. You may call and ask about the time-of-service discounts we offer.