Patient Forms — Download Before Your Visit
Completing your paperwork in advance saves time at your first appointment and allows our medical team to prepare for your visit. Please download the applicable forms, complete them at home, and bring them with you.
Walk-ins are always welcome — forms can also be completed in our office. If you need assistance with any form, our staff is happy to help you in person or by phone.
Available Forms
New Patient Registration: Basic personal and contact information for new patients.
Medical History: Your health history, current medications, allergies, and prior injuries relevant to your accident care.
Auto Insurance Authorization: Authorizes us to bill your auto insurance carrier directly for your treatment.
HIPAA Privacy Consent: Required acknowledgment of our Notice of Privacy Practices under federal law.
Assignment of Benefits: Authorizes the insurance company to pay us directly.
To request forms in advance or for questions about your visit, call (405) 842-3209. We look forward to seeing you!
What to Bring to Your First Visit
- Photo ID — driver's license or state ID
- Auto insurance card — yours or the at-fault driver's
- Police report or accident exchange form if available
- List of current medications and any known allergies
- Attorney contact information if you are represented
- Prior imaging or medical records related to the injury
Forms You Will Complete at Intake
- New patient medical intake form
- HIPAA privacy acknowledgment
- Insurance and billing authorization
- Accident and injury description
- Medical history and current medications
How to Save Time at Check-In
- Complete paperwork in advance from our Forms page
- Arrive 10 minutes early for intake review
- Bring originals of your ID and insurance card