Orthopedic & Trauma Service of Oklahoma
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Our FORMS

We know that no one likes waiting at a doctor's office, especially when you or a loved one is hurting. To speed up the process, we have added the forms for new patients to our website to make your visit more efficient. Please feel free to download, print and bring these forms with you to your visit.

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Demographics

This form lets us know how to reach you and assign other contacts to your account.
Download
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Medical History

Help us get to know you and your medical history.
Download
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Assignment and Consent
of Benefits

These forms are used to authorize payment and consent to treatment.
Download

Optional forms

HIPAA PRIVACY STATEMENT
Every patient is required to sign that you have been given the HIPAA privacy practices for our office. We will be happy to give you a copy at your visit or you may download a copy to review here.
RELEASE OF INFORMATION
Sometimes we need written permission to release information to other entities, such as your disability insurance carrier, your employer or your child's school. The form to release information is listed here for you to download.
CONTACT
phone:  918-392-4547
fax:  918-392-4555
address:  5110 S Yale, Suite 525 Tulsa, OK
The information you obtain at this site is not, nor is it intended to be, medical advice. You should consult a doctor or surgeon for individual advice regarding your own situation. Copyright © 2020 by Orthopedic & Trauma Service of Oklahoma, PC. All rights reserved. You may reproduce materials available at this site for your own personal use and for non-commercial distribution. All copies must include this copyright statement.
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