AMANDA L. BURKE, PH.D.
~INTAKE PAPERWORK~

Welcome! If you have an initial assessment scheduled with me, please bring the following completed paperwork to your first appointment.

1. Notice of Privacy Practices - HIPAA

2. Adult Intake Packet for the first session - Initial Assessment for adult clients only

                                                      ~ OR ~

   Teen Intake Packet for the first session - Initial Assessment for adolescent clients only

3. Telehealth Agreement
​
If you have trouble downloading or printing these forms please let us know by calling 405.285.7332 or email tensegrityca@gmail.com so that we can make other arrangements.

I will see you at your initial appointment! I look forward to working with you.
​~ Dr. Burke