• Staff Only | Returning Clients

    2021 Mahaney Ave. Ste. #4 | Tahlequah, OK 74464
    info@c4-counseling.org | (918) 901-9300
    Fax: (918) 901-9339

  • C4 Counseling, PLLC

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    Client Portal and Client Forms

    Before we start the counseling process it is important that we get certain information from you. There are several ways that you can save time which will give us more of an opportunity to focus on you and the reason you have decided to start this process in the first place.

    First Option (preferred): Register at the link provided here to access C4’s protected client portal and complete the requested documentation.

    Second Option: Complete the ‘C4 Request for Services’ form provided here.


    2021 Mahaney Ave. Ste. #4
    Tahlequah, OK 74464

    (918) 901-9300
    Fax: (918) 901-9339

    info@c4-counseling.org

    Contact Today

    By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

    Consulting and Counseling for Community Change, PLLC
    info@c4-counseling.org | (918) 901-9300
    Fax: (918) 901-9339

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