A Guide for Parents
If you feel that your child may benefit from our services, please contact the office at (405) 433-4224 or follow the following steps:
- Complete the New Patient Information Form
- Complete the Case History Form
- Please review and accept the Notice of Privacy Practices Consent form
If your child is covered through Soonercare/Medicaid, these additional forms are needed:
- Complete the Parental Consent Form.
- Complete the Change of Provider Request Form.
- A prescription for services and current clinic note completed by the child’s primary care physician. These can be faxed directly to the office at (405) 493-0717.
- A copy of the child’s Medicaid card.
- A copy of the child’s Individual Family Services/Support Plan (IFSP) or Individual Education Plan (IEP), if applicable.