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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. Also includes Telemental Health Counseling Consent Form.  Please fill these forms out, provide signatures, and return either in person at your first session, or you may email ( or fax (405-533-4089) to the office prior to your first appointment.  Thank-you.

First Name:

Last Name:



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

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