Online Forms

Contact our office at [email protected] or 918-760-5243, and we will email you a specific link for needed forms to sign online.

Download Forms

If you feel more comfortable with paper forms, select the appropriate form(s) below to print, complete, and email them to [email protected] or snail mail them to 8810 S Yale Ave, Tulsa, OK 74137.
SoonerCare Client Intake Form
Private Practice Client Intake Form (Private insurance or cash pay)
Client Bill of Rights
Treatment Advocate Release
Grievance Procedure

Please read the Hippa information rights notice below and print it off if needed for your records.
Hippa Information Rights Notice

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize the release of psychotherapy information:
Authorization to Disclose Information Form

If you need to coordinate payment for services, you can print off the credit card authorization form below.
*Note- this form is included in the private intake.
Credit Card Authorization Form