Patient Forms

New Patient Forms

Patient Information

 https://intakeq.com/c/5da60a202604ab30f890d334 

Policy on Failed Visits

https://intakeq.com/c/5d96821c2604a92d6c6ff169 

Consent for Treatment/Financial Policy 

https://intakeq.com/c/5d9687222604a92d6c6ffaf0  

Privacy Policy  

https://intakeq.com/c/5da88d012604a9215cef5ad2 

Acknowledgement of Review of Notice of Privacy Policy 

https://intakeq.com/c/5da61f432604ab30f891374c  

SoonerCare Patients Only-Parental Consent Form

  https://intakeq.com/c/5da3a7342604a930f8b86bd2 

SoonerCare Patients Only-Change of Provider Form

Fill out only if directed to do so by your therapist or clinic staff  

https://intakeq.com/c/5da5fe6b2604ab30f8909e7c