Support Request

If you would like to receive assistance for more than one child, please fill out a separate request for EACH CHILD.

If you have a request that is not related to a specific child (for example, you have questions about BehaviorHelp, need training for your center, want to refer a whole classroom for assistance, etc.), please do not complete this form.

Email us at behaviorhelp@dhs.arkansas.gov or alkyzer@uams.edu so we can better assist you.

Child Care Program Information

Center Name:
Center Address:
Center City:
Center Zip:
Center County:
School District:
Better Beginnings level:
Your Name:
Your Role:
Your Role (if other):
Email:
Phone: Ext:

Observed Behaviors (check any that apply):

Destroys property
Frequent crying
Does not interact with other children
Acts younger than his/her age
Hurts others (hitting, kicking, biting, pushing, etc.)
Hurts self (banging head, scratching self, biting self, etc.)
Doesn't/won't pay attention
Won't sit still
Does not interact with staff
Difficulty following routines

Briefly describe behavior observed: (No names please)

If your help request is not specifically related to child behavior, you may still use the text box above to share information about your need. You will receive a phone call from the staff of DCCECE to learn more and connect you to support.

Once you submit your BehaviorHelp request, someone from our team will be calling you to conduct a phone interview. This interview will take approximately 30-45 minutes.
When is a good time of the day for someone from our team to call you?