If you are a new client, please print, complete, and bring the appropriate form(s) below to your first session.

Please read the Hippa information rights notice below, and print off if needed for your records.

• SoonerCare Client Intake Form
• Private Practice Client Intake Form (Private insurance or cash pay)
• 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