Forms
NOTE: If your injury is due to a personal injury such as Workers’ Compensation or a Motor Vehicle accident, please contact our office prior to your appointment.
Please download the Patient Registration Packet below and bring it with you to your appointment.
Please take time to fill them out completely and bring them with you to your appointment along with the following:
- MRI/CT films
- Insurance card(s)
- Co-pay
- Driver’s license / state photo ID
- List of medicines you take
If you do not bring your MRI/CT films to your appointment and if you cannot pay your co-pay / deductible or any out of pocket expenses upon arrival, your appointment will be rescheduled.
If you cannot keep your scheduled appointment, please contact our office at (405) 455-3322 no later than 24 hours prior to the appointment time. Please be on time for your appointment. Those patients who are late may be rescheduled depending on the doctor’s schedule.