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Patient Information
Patient Forms ▪ Referral Form ▪ Resources ▪ Insurance ▪ FAQ
If you have scheduled an evaluation for your child, you may print and complete the following forms to bring with you to your appointment. This will save you time at the clinic on the day of your appointment. If you have any questions regarding these forms, please call 918-663-0606 or email info@therapyworkstulsa.com.
New patients - download the following forms individually or download the entire new
client
packet.
Consent to Treat/Medical Records Release Form
Acknowledgment of Receipt of Privacy Practices
Photography/Videotaping Release
Occupational
Therapy Intake Packet
If you need to reschedule or cancel your child's appointment, please call or email schedule@therapyworkstulsa.com.
Contact TherapyWorks Address: 7608 East 91st St., Tulsa, OK 74133 Phone: 918-663-0606 Fax: 918-663-8754 E-mail: info@therapyworkstulsa.com
Hours: Monday-Friday, 8:00 a.m. - 6:30 p.m.
All forms are in Adobe Acrobat Reader
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