Please download ALL forms before attempting to print. Then, fill out all documents and send to richard@new-life-counseling-oklahoma.com or fax to 888-344-9087

Orientation Form

Intake Form

Telehealth and In-Person Visit Form

HIPAA Form

lighthouse

OFFICE

603 GARY BLVD, CLINTON, OK 73632

Richard Waguespack, B.TH, MSW, LCSW

CALL 580-500-8050

© 2019 Richard S. Waguespack, Jr...............................................................580-500-8050 Phone 
New Life Counseling.............................................................................888-344-9087 Fax
Last Updated 7.2.19.....................................................richard@new-life-counseling-oklahoma.com

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