Contact Us

Get In Touch

Phone: 405-242-6460

Fax: 405-544-5916

Email: Info@PsychologyOK.com

Scheduling Forms

Location

Jamestown Office Complex, North Building

3035 NW 63rd St., Suite 227

Oklahoma City, OK 73116

Quick Links

Patient Portal

Make a Payment

Request Appointment

Please complete the form below. You will receive an email from therapyportal.com with a link to create your secure patient portal and complete the registration. Please allow 24-48 hours or next business day if submitted Friday-Sunday.

Once registration is completed, a member of our team will reach out to get you scheduled promptly.

This website is HIPAA compliant and

your confidentiality is respected and assured.

Consumer information IS NOT shared with third parties for marketing purposes.

Patient First Name

Patient Last Name

Patient Date of Birth

Month

Day

Year

Phone

Full Name of Person Completing Appointment Request Form.

Relationship to the Patient

Name of Insurance Provider

I allow Psychology Specialists of Oklahoma to use SMS/Text Messaging to communicate with me regarding Appointment Scheduling.

Yes

I allow Psychology Specialists of Oklahoma to use email to communicate with me regarding Appointment Scheduling.

Yes

Reason for appointment - Please tell us why you're seeking a psychological evaluation.