North Arkansas Counseling Foundation
  • Home
  • About Us
    • Who We Are
    • Our Team
    • Hours of Operation
    • Financial
    • Donation Information
    • Contact Us
  • How We Can Help
    • Where to Begin
    • Services Available
    • People's Experiences
  • Schedule Appointment
    • Schedule In-Office Appointment
    • Schedule Online Appointment
  • Online Session Waiting Room

Schedule Online Appointment

In order to participate in online counseling, read, sign, and email this form to nacounselingfoundation@gmail.com

Technology Information Form

New Clients:

Please fill out the following forms and email them to nacounselingfoundation@gmail.com no later than 24hrs prior to your appointment time.​
Client Information form
Informed consent
Financial policies and fee agreement

For Couple Therapy:

written statement of understanding for couple therapy
If you are a new client requesting an appointment through our portal, please leave a phone number in which you may be contacted, indicate if you are seeking individual or couple counseling, and if you will be self-pay or if you have insurance along with the insurance carrier if applicable.  You will find that area to do so on the submit request page in the ‘Message to Practice’ field.

Click on the link below and follow the prompt to Request Appointment.  Please select “Online Session” to request an Online Appointment.

​TO SCHEDULE AN Online Appointment, CLICK HERE

Hours

M,T,TH,F: 10am - 6pm
​W: Online only

Telephone

(870) 743-6314

Email

nacounselingfoundation@gmail.com
Designed by bergenrackley@gmail.com
Copyright © 2019
  • Home
  • About Us
    • Who We Are
    • Our Team
    • Hours of Operation
    • Financial
    • Donation Information
    • Contact Us
  • How We Can Help
    • Where to Begin
    • Services Available
    • People's Experiences
  • Schedule Appointment
    • Schedule In-Office Appointment
    • Schedule Online Appointment
  • Online Session Waiting Room