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New Client Information

Clients with a Scheduled Appointment

If your child is a new client or are scheduled for evaluation, please print and complete the following intake paperwork. Return this to us along with a copy of the front and back of your insurance card. Following receipt of this information, we will contact you to schedule you/your child for an initial evaluation or first therapy session.

If you or your child are a new client or scheduled for an evaluation specific to scoliosis/Schroth method of physical therapy, please print and complete the following forms and bring them to your appointment. Please also bring your insurance card(s) to your first appointment. 

If you are interested in initiating therapy, receiving an evaluation, or making an appointment: Please have your Primary Care Physician fax a Referral Form with your contact information and the needs stated to: Ward Clinic (501) 843-2270 or NLR (501) 353-2599. Once the Referral Form is received, Allied Therapy will then make contact to initiate the intake process.

Do I need a referral/prescription?

Yes, you will need a referral/prescription and possibly prior authorization, depending on your funding source.

How can I get my child referred for therapy services?

Your child needs to be referred for therapy services by obtaining a written prescription from their Primary Care Physician or specialist. Some insurance plans require prior authorization for therapies. This should be obtained by the primary care physician's office before the initial evaluation can take place.

Who will pay for my child’s therapy?

Most insurance companies will pay for therapy as long as it is deemed medically necessary. Please call our office to have the staff check with your insurance about coverage for therapy.

Can I have more than one insurance pay for services?

Yes, you can have more than one insurance company pay for services. Our office will bill secondary insurance for payment. The guarantor on the account will be responsible for any amount not covered by the insurance company.

Payment types accepted?

We accept insurance checks, personal checks, debit & credit cards, & cash. We can file with any insurance:

  • Medicaid

  • Tri Care

  • Blue Cross Blue Shield

  • Blue Advantage

  • Health Advantage

  • US Able

  • Early Intervention Program


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