Client Care & Forms

We believe the scheduling and financial aspect of your relationship with Cleary Counseling and Consultation should be seamless. To that end, we practice management systems and billing services to manage initial and follow-up appointments, insurance eligibility, claims, and client statement.

We will assist you with scheduling your initial and follow up appointments and answering any of your billing questions.

Contact Us

Office: 918-978-0176

Email: [email protected]

Tulsa Therapist

Please print and fill out the appropriate intake form below:

New Client Form – Adult

New Client Form- Child

Telemental Health Agreement Form

Please also print and fill out our policies and procedures form below:

Release of Information

Policies and Procedures

Credit Card Authorization

We adhere to the HIPAA privacy act guidelines. We utilize a secure, encrypted email service called Hushmail, and confidential voicemail at our toll-free number.

Copyright 2019 | Cleary Counseling