Contact our office at [email protected] or 918-760-5243 and we will email you a specific link for needed forms that you can sign online.
If you feel more comfortable with paper forms select the appropriate form(s) below to print, complete, and either email the forms 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 off if needed for your records.
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:
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.