Emerge Therapy Services
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New Patient Information​ and Paperwork

Thank you for visiting our website.  Emerge Therapy Services believes in a holistic approach to meet the clients' needs including Mental Health Therapy​ (MH) and Occupational Therapy (OT).  Referrals from the client's Primary Care Physician is required for the clinic even if your insurance doesn't require one.

We offer MH services from Newborn through Adults.  We treat a variety of concerns including anxiety, depression, PTSD, adjustment disorders, anger/aggression, grief, and more.  We have therapists who specialize in Play Therapy, EMDR, TF-CBT, and Humor Therapy.  We provide both individual and family therapy sessions.

Mental Health services are now offered in our Carroll County satellite location for ages 13 through adults.

We offer OT services from Newborn through 21 based on your insurance.  A referral from the PCP is required for OT services and has to be received before we are able to schedule the first evaluation session.  We treat a variety of OT concerns including OT, Sensory and feeding issues.

The links below will give you more information on MH and OT services.
Mental Health Therapy Services
Occupational Therapy Services

New Client Paperwork PDFs

MENTAL HEALTH THERAPY PDFS
Adult mental health therapy services PDF
child mental health therapy services PDF
OCCUPATIONAL THERAPY PDFS
Child Occupational Therapy services PDF

New Client Paperwork Electronic Links
 

If you choose to complete the electronic paperwork links the legal guardian or the adult client will need to complete both the paperwork link and the questionnaire link for the specific services they are needing.  When you hit submit on the electronic link, it sends it directly to our Care Coordinator.
MENTAL HEALTH THERAPY ELECTRONIC LINKS
OCCUPATIONAL THERAPY ELECTRONIC LINKS
MH New Client Paperwork - Child
MH New Client Paperwork - Adult
OT New Client Paperwork - Child
Please contact us with any questions you may have.
Carroll County Satellite Location
New Client Paperwork
MH NEW CLIENT PAPERWORK - CHILD - Electronic Link - Carroll County
MH NEW CLIENT PAPERWORK - CHILD - PDF - Carroll County
MH NEW CLIENT PAPERWORK - Adult - Electronic Link - Carroll County
MH NEW CLIENT PAPERWORK - Adult - PDF - Carroll County
Main Clinic Location
2713 SE I Street
Suite #5
​Bentonville, Arkansas 72713
Office Phone 479-250-4355
Fax 479-553-7954
Email info@EmergeNWA.com
Hours of Operation: Main clinic hours 8:00 am - 6:00 pm Monday - Friday
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​Carroll County Satellite Location
18795 US 62
Eureka Springs, AR 72631
Located in the old Busch Post Office/Classic Counseling office
​(8 miles west of Eureka Springs)
Office Phone 479-250-4355
Fax 479-553-7954
Email info@EmergeNWA.com
Hours of Operation: Main clinic hours 
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Frequently Asked Questions
Please click the button below link to access our frequently asked questions. Including scheduling, referral and wait times.
Frequently Asked Questions
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  • Home
  • Clinic Gallery
  • New Patient Information
  • Insurance Information
  • Our Team
  • Contact Us
  • How MH Works
  • How OT Works
  • FAQ