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Online Forms

New Patient Forms


You can get the new patient forms to fill out ahead of your appointment time by:

1. Calling (580) 256-7123 to have the paperwork emailed to you.  

OR

2. Come by the office at 1903 Main St. Woodward, OK 73801 and pick up forms to take home with you. 

OR

3. You may download the following links to print out the forms.

  •                 Terms of Accpetance

                         /storage/app/media/Terms_of_Acceptance-_Front-Back_side-_ENGLISH1.pdf

  •                 Individual Privacy Rights

                        /storage/app/media/2018_Individual_Privacy_Rights.pdf

  •                Informed Consent Form

                       /storage/app/media/Informed_Consent_Form.pdf

  •                Adult New Patient Forms

                      /storage/app/media/New_Patient_paperwork_-_Adult1.pdf

  •               Child New Patient Forms

                       /storage/app/media/New_Patient_paperwork_-_Child1.pdf

  •                Hippa Release

                      /storage/app/media/HIPPA_Form3.pdf        

Fill out the forms in the comfort of your home or office and bring them with you to our office for your scheduled appointment.                                   



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Office Hours

Our Regular Schedule

Monday:

9:00am - 12:00pm

3:30pm - 6:00pm

Tuesday:

2:30pm - 5:30pm

1st and 3rd Tuesdays of the month at the Fargo Location

Wednesday:

Closed

Thursday:

8:30am - 12:00pm

at Fargo Location

Friday:

Closed

Closed

Saturday:

Closed

Closed

Sunday:

Closed

Closed

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