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