(918) 592-0999

For Patients

Patient Forms

Click on a form below to download

Patient History Form

Click here to view a list of insurance plans that are accepted.  Please contact your healthcare provider's office to verify that he/she works with your specific insurance company and plan.

 

Notice of Health Information Privacy Practices

This notice describes how medical information about you may be used and disclosed as well as how you can get access to this information.

View or download the notice by clicking here
Notificación de Prácticas de Privacidad

If you have any questions about this notice, please contact the Oklahoma Heart Institute Privacy Officer at 918-579-2977.