If you have a scheduled appointment or evaluation for your child, please print and complete the following forms to bring with you to your appointment. This will save time at the clinic on the day of your appointment. Please bring your insurance cards to all appointments during intake.
If you are interested in a screening or evaluation of your child or making an appointment: Please have your Primary Care Physician fax a Referral Form with your contact information and the identified need to: (479) 967-1178. Once the Referral Form is received, Recovery Zone will then make contact to initiate the intake process. Interested parties can also call our clinic to assist with the process of screening or evaluation at (479) 968-1198.