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New Patient & Contact

Welcome to Joyous OT!

Whether you’re reaching out to inquire about our services or you’re ready to begin your therapy journey, we’re here to help. Below you’ll find all the information you need to get started, as well as how to contact us with any questions.

Getting Started as a New Patient

We are thrilled that you’re considering Joyous OT for your occupational therapy needs. To begin your journey with us, please complete the form below with your details so that we can contact you to schedule your first appointment or answer any questions you may have.

New Patient Information Form

Please fill in your information below to help us understand your needs and get in touch with you promptly.

Is this form being filled out for:*
- Myself
- Someone else (Please provide the details of the person receiving therapy, along with your own contact information)
Legal Name*
Nickname
DOB*
MM slash DD slash YYYY
Phone Number*
Email*
Reason for Therapy

(Brief description of why you're seeking therapy)
Please provide the information for the person receiving therapy (e.g., your child, spouse, or other family member) in the fields below. Then, provide your own details at the end.
Person’s Legal Name*
Person’s Nickname
Person’s DOB*
MM slash DD slash YYYY
Reason for Therapy*

(Brief description of why you're recommending therapy for this person)
Your Full Name*
Your Phone Number*
Your Email Address*
Your Connection to the Person*
Additional Information
Any special instructions or additional info we should know?

(Optional, but helpful for understanding your needs)
Privacy & Confidentiality Notice:
Please DO NOT send any personal health information through this form. This form is for general intake purposes only. Specific patient care or confidential health-related information should be addressed during your scheduled appointment. Once you’ve completed the form, someone from our team will reach out to schedule your first appointment and discuss any additional steps.
Phone

This field is for validation purposes and should be left unchanged.

General Inquiries or Questions

If you have any general questions or need more information before getting started, please feel free to use the form below to reach out. We’re here to help!

Name*
Phone Number*
Email*
Reason for Inquiry
- General Information (If you are just looking for information about Joyous OT practice, services, or team)
- Schedule an Appointment (If you want to book or inquire about scheduling)
- Insurance or Payment Questions (If you have questions about insurance, billing, or financial matters)
- Therapy Services for Adults (If you are inquiring about therapy services for yourself or another adult)
- Therapy Services for Children/Family (If you are inquiring about therapy for a child or family member)
- Referral Information (If you are a healthcare provider or another professional making a referral)
- Support for Developmental Trauma/Attachment Issues (If you are seeking therapy or support for attachment-related concerns or developmental trauma)
- Parenting Support or Resources (If you are interested in parenting strategies, guidance, or other family-focused resources)
- Questions About Therapy Approaches or Techniques (If you want more information about the types of therapy or treatment methods Joyous OT uses)
- Collaborations or Partnerships (If you are interested in potential professional collaborations or partnerships)
- Feedback or Testimonial (If you are looking to leave feedback or share your experience)
- Other (If the inquiry doesn’t fit into the categories above, you can describe it in more detail below)
Other*
Message*

(Please let us know how we can assist you. If you have specific questions about services or our practice, we’re happy to answer them!)
Important
Please DO NOT send any personal health information through this form. For privacy and security, we recommend discussing personal health information during your scheduled appointments.
Name

This field is for validation purposes and should be left unchanged.

Contact Information:

Phone: (501) 664-1788

Fax: (501) 904-4409

Address: 1302 Cumberland St, Little Rock, AR 72202

Next Steps:

Once we receive your completed form, our team will review your details and contact you directly to schedule your first appointment or answer any questions you may have. If you need immediate assistance, feel free to call us at (501) 664-1788.

Find Us Here

Address 1302 Cumberland St
Little Rock, AR 72202

Contact (501) 664-1788

Get In Touch

Name*
Phone*
Email*
Reason for Inquiry
Do you have any question for Us?
Message*
Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.
Comments
This field is for validation purposes and should be left unchanged.

Joyous OT

(501) 664-1788

1302 Cumberland St
Little Rock, AR 72202

About Joyous OT
New Patient & Contact
FAQs
Meet Our Therapists
Client Portal
Referrals
Resources
Joyous OT Library