CLINICAL PSYCHOLOGIST | LICENSED IN OKLAHOMA | TULSA, OKLAHOMA

Forms

New Patient Forms - Each new patient will be provided with the following forms at the first appointment (though you may print and complete the Child/Adolescent History form below if you would like):

1. Consent Forms: All new patients must complete one of the following, depending on which service you are requesting: Testing/Evaluation OR Treatment – PLEASE READ THE FINANCIAL POLICY CAREFULLY!

2. Appointment Reminder Form: this allows you to choose how you will be contacted to remind you of your appointment.

3. Client History Forms: All new patients must complete one of the following depending on whether the  patient is an adult or a minor: Adult History OR Child/Adolescent History

Please bring the following to your first appointment:

  1. A photograph of the patient – this will stay in the chart
  2. A photo ID for the patient or patient’s parent
  3. Previous psychological/educational testing (if applicable)
  4. Individualized education plans (if applicable)

Please note: Neither report cards nor medical records are needed at the first appointment.

 

  • Issues Commonly Addressed

    • Anxiety/Depression
    • High Functioning Autism/Asperger's
    • ADHD/ADD
    • Learning disabilities (including Dyslexia)
    • Challenging behavior
    • Emotional dysregulation and mood problems
    • Poor social skills
    • Family conflict