Forms

Please complete and submit the information below which will allow us to contact you.                                     If you decide to schedule an appointment, there is a button below to access the necessary intake form(s) to download which are required to provide counseling services to you.  Please fill these forms out, provide signatures, and return either in person at your first session, or you may email ([email protected]) or fax (405-533-4089) to the office prior to your first appointment.  Thank-you.

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you! Your information has been submitted successfully.

The information that you have provided is considered confidential and will be handled with utmost care. Thank-you!

Please click to access Intake Form