If you would like to schedule for occupational therapy services, please complete the forms below. Forms may be returned in person, mail, email or faxed. If your insurance is SoonerCare or Tricare Prime, you will require an authorization for service from your primary care provider. Please contact your doctor to initiate this request be sent to Total Poss-Abilities.


Developmental History Questionaire: 


Financial Policy:


Cancellation Policy: 


Treatment and Assignment of Benefits:


HIPPA Policy:


Consent for Evaluation and Treatment (SoonerCare Insurance ONLY):
DHQ.pdf
DHQ.pdf
Financial_Policy.pdf
Financial_Policy.pdf
Cancellation_Policy.pdf
Cancellation_Policy.pdf
HIPPA.pdf
HIPPA.pdf
Treatment_and_assignment_of_benefits.pdf
Treatment_and_assignment_of_benefits.pdf
parental_consent.pdf
parental_consent.pdf