Richard H. Barrett, II, Ph.D.
Licensed Clinical Psychologist

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Fort Smith, AR Contact Info

Rogers, AR Contact Info

Patient Forms

Resources

For your convenience, I have provided all the forms that are required for a new client. Please print and complete to bring to your first appointment. If you prefer to fill them out at the office, please arrive 15 minutes early for your appointment. New patient forms will be on a clipboard hanging on the wall at the Fort Smith office and sitting on the waiting room table at the Rogers office.

HIPAA

Patient Information

Consent to Treatment

The forms will require Adobe Acrobat to view and print. Acrobat is a free program and can be downloaded from the Adobe website.

If you should have any further questions, please call us at (479) 561-3144. I look forward to working with you.

5601 Duncan Rd
Fort Smith, AR 72903

Located in Fort Smith and Rogers, Arkansas
(479) 561-3144

1300 W. Walnut St., Ste D
Rogers, AR 72756