Outreach Department

Thank you for your interest in the OSB Outreach Department’s services!

In order for us to properly provide services, you must fill out a form based on the services you will need. You may download a PDF version of the form below, or you may fill out an online version of the form using a link below.

In addition to completing an Outreach services form, please also mail or fax copies of the following information:


Vision Report

Individualized Education Plan (IEP)

Multidisciplinary Education Evaluation & Group Summary

Release of Information Form – Please click HERE to download this form.


Printable Form

Outreach Service Application Form (PDF Format)



Online Web Form

(Having problems accessing Web Application? Call OSB IT Department at 918-441-2714)

Access OSB Outreach Web Application Form


You must have a browser such as Mozilla Firefox, Google Chrome, Apple Safari, or Internet Explorer Version 10 or 11 to complete an online application


Mailing Address:

Outreach Department
3300 Gibson St.
Muskogee, OK 74403

Fax Number:

(918)781-8300 – Attn.: Sherry Holder