Before your appointment: Please call the clinic to confirm which forms to complete and whether updated versions are available. Do not send completed forms or sensitive health information through ordinary email unless the clinic has approved that process.
Intake formView PDF ↗Health historyView PDF ↗Accidental injury informationView PDF ↗Consent to use and disclose health informationView PDF ↗Notice of privacy practicesView PDF ↗Symptom description formView PDF ↗Patient information form · page 2View PDF ↗Patient information form · page 4View PDF ↗
Questions? Call (405) 285-2455 before completing paperwork.