New Patients

Scheduling a visit is easy. Review the following forms and complete the requested information. Once the forms have been sent back to our office, we will contact you to schedule the first appointment.

Our care has expanded!

Due to a recent Medicare rule change, we will now be able to help more patients! Under the new rule, patients and their caregivers may choose home-based care, even if they are not designated as "homebound." These rule changes apply only to Medicare patients, excluding people on Medicare Advantage plans. People who use private insurance are also not affected.

New Patient Forms

Click the icons below to complete and sign patient forms digitally through an online portal. Alternatively, forms can be printed and mailed using the printable form link below.

Our digital forms are quick, easy and secure. Start by entering the full name of the new patient and the best email for the patient or guardian. Then complete the digital forms and submit.

Residents of assisted living centers and care professionals completing the packet on behalf of a patient do not need to fill out the patient evaluation questionnaire forms. All other patients must complete the patient evaluation questionnaire forms in addition to the new patient form packet.

Having issues? Call us at (405) 896-8058, and we’ll walk you through it.

Additional Forms:

General Information

Our physicians are assigned specific geographic areas. Patients living in those areas are scheduled with physicians who travel to those locations. Unless otherwise requested, most new patients are seen within five business days of the initial call – many times the visit is sooner.

On the First Visit
Please have the following information readily available:

  • A list of prescription medications, over-the-counter medications, and herbal or nutritional supplements you are currently taking. Please also have all the bottles out.
  • Immunization records (Last Pneumococcal (Pneumonia) vaccination, Flu and Tetanus shot)
  • Insurance cards for verification (we will need a copy of both the front and back of your insurance cards.)
  • A list of all physicians’ addresses involved with your care, along with their phone/fax numbers
  • A list of all your medical equipment companies along with their phone/fax numbers

Canceling an Appointment
A last-minute cancellation means a patient who could have been seen by our providers may not have that opportunity. If you do need to cancel an appointment, please contact us 24 hours prior to your scheduled visit. This allows us to offer the time to another patient.

Fees, Billing and Co-Pays
As a courtesy to you, we will gladly bill your insurance company for your house call visit and any associated charges. Your insurance coverage is an arrangement between you and your insurance company and, as with most health policies, payment (including any deductibles or other balances not covered by your insurance) is your responsibility.

When you have a house call visit with us, we will ask you if you are responsible for any office visit co-pays. If a co-pay is part of your insurance plan, it should be paid prior to the time of the visit. We are happy to accept credit card payments over the phone.

Your cooperation with co-pays and any associated insurance questions is greatly appreciated.

Please contact our office immediately if your insurance carrier changes at any time.

Telephone Calls
When you call our office, we will try our best to have a “real” person answer your call each and every time. During times of high call volumes, such as Monday mornings, your call may be answered by voicemail. Be assured, we will return your call as soon as possible.

Test Results
Tests results are called to patients or caregivers within 24 business hours of receiving them. It sometimes takes 3-7 days for certain tests results to come back. If you do not hear from our office within one week of having a test done, please call our office. We will locate the result and contact you. Or use the Patient Portal to review test results, visit notes and any other information in your medical record. To request login access email us or send a message through the contact page.

Patient Drug Information
Patients may be prescribed opioids by their physicians for acute or chronic pain, such as kidney stones or broken bones. Opioids are strong medications and should only be used as directed. Opioids may have side effects or drug interactions, so talk to your PHC physician about any concerns. Click here to learn more about opioids. You can review this brochure to learn how to avoid accidental overdose.

 

Download the New Patient Information packet.