Services are FREE for anyone who has Title XIX Medicaid or SoonerCare in Oklahoma

918-960-7852

To Have Someone Else Complete the Treatment Plan Update for Your Client

Only clients with Medicaid as one of their payment sources need treatment plan updates. If the client does not have medicaid as a pay source, please complete a 6 month survey and submit a Simple Treatment Plan request using the CDC Request form.
Parent or Guardian's Name if the Client is a Minor
Clinician Making Request(Required)
MM slash DD slash YYYY

Man in behavioral therapy