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Harrel Downtown
Call: 918-302-2910 | Text: 918-582-2020

Harrel Midtown
Call: 918-302-2120 | Text: 918-745-9662

Harrel South
Call: 918-302-2930 | Text: 918-252-7432

Harrel Memorial
Call: 918-490-8323

Home » Contact Us » Patient Forms

Patient Forms

In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

Adult Welcome Forms

Optomap Agreement

Consent to Disclose Medical and Payment Information

15 & Under Welcome Forms

15 & Under Form: Welcome Form New Patient

15 & Under Form: Notice of Privacy Practice (HIPAA)

15 & Under Form: Entrance Symptom Checklist

 

15 & Under Welcome Forms for Soonercare Patients

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