Forms

Click on the links below to complete and submit a form online.

Client Intake & Demographic Form Treatment Plan Development Form 6 Month Services Satisfaction Survey Adverse Childhood Experience Questionnaire Consent to Receive Electronic Invoices Consent to Receive Teletherapy Services Consent to Release Confidential Information

Click on the links below to download some common forms from Improving Lives Counseling Services.

Completed forms can be faxed to 539-664-5738

• Sliding Scale Application

• Participant Orientation and Information Guide

• Appendix A – Oklahoma Health Care Authority