CERTIFICATIONS
Licensed Professional Counselor Candidate
National Certified Counselor
“The quality of our relationships determines the quality of our lives.” – Esther Perel
Clinical Focus
Individual Therapy | Couples Therapy | Sex Therapy | Sexual Abuse | Trauma | Domestic Violence | Multi-Partner Relationships
Office Location
10400 N. Vineyard Blvd. | Suite A | Oklahoma City, OK 73120
Online Therapy Paperwork
If you are seeking online therapy for INDIVIDUAL counseling, then this is the packet for you. Please read thoroughly and fill out the appropriate sections. Then email it (therapy@familysolutionsok.com with subject line: Online Therapy Packet) or fax it (405.242.5345 with a cover page with the ATTN to: Online Therapy Packet). Don’t forget to read the NOTICE OF PRIVACE PRACTICES and ONLINE THERAPY INSTRUCTIONS (see below).
FSC Online Couples Client Packet
If you are seeking online therapy for COUPLES counseling, then this is the packet for you. Please read thoroughly and fill out the appropriate sections. Then email it (therapy@familysolutionsok.com with subject line: Online Therapy Packet) or fax it (405.242.5345 with a cover page with the ATTN to: Online Therapy Packet). You may also send the completed back via OhMD app.
In-Person Therapy Paperwork
Please print and fill out the appropriate packet.
Be sure to bring the completed forms to your first appointment.
If you are going to be seen by your therapist individually for your first appointment, then this is the packet for you.
Couples/Family Counseling Packet
If you and your spouse/partner are going to be seen together on your first session, then this is the packet you need to complete. If you are coming in for FAMILY THERAPY you will need to download this packet; however, you may need additional forms. Please contact our office at 405-242-5305 so our front office staff can direct you to any additional form needed.
Please take a couple minutes to complete this questionnaire. Please bring the completed version to your therapist at your first appointment. If you are doing couples/family therapy, print one for all parties that plan on being present for the session.
Notice of Privacy Practices – read thoroughly, BUT YOU DO NOT NEED TO PRINT THIS DOCUMENT