Client Forms

If you are new to therapy, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy, and allow as much time as possible to be spent focusing on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

Contact Today



2512 S. Harvey
Oklahoma City, OK 73109

Please contact me at Mosaic Mental Health
(405) 595-9600

miabush@mnbtherapy.com
(405) 446-8338

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