Tensegrity Counseling Associates
1733 W 33rd St., Suite 120, Edmond, OK  73013        405.285.7332
  Tensegrity Counseling Associates - Edmond, OK
  • HOME
  • Meet the Team
    • Michelle Bell, LMFT >
      • Michelle Bell - Intake Paperwork
    • Tanner Boles, LPC >
      • Tanner Boles - Intake Paperwork
    • Amanda Burke, Ph.D. >
      • Dr. Amanda Burke - Intake Paperwork
    • Elaine Demke, LMFT >
      • Elaine Demke - Intake Paperwork
    • Krista Doll, LPC >
      • Krista Doll - Intake Paperwork
    • Rebecca Jones, LPC >
      • Rebecca Jones - Intake Paperwork
    • Mary Beth Nelson, LPC >
      • Mary Beth Nelson - Intake Paperwork
    • Angie Ridings, LPC, LADC >
      • Angie Ridings - Intake Paperwork
    • Terri T. Slack, LPC, LADC >
      • Terri T. Slack - Intake Paperwork
  • Services
    • Betrayal Trauma
    • Individual Therapy
    • Couples Therapy
    • EMDR & Trauma Therapy
    • Substance Abuse
  • About
  • Contact Us
  • Blog
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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

We look forward to meeting you!


Hours

By appointment

Telephone

405.285.7332

Email

tensegrityca@gmail.com            Copyright ©2017-2021 by Tensegrity Counseling Associates