https://medicine.ouhsc.edu/Academic-Departments Parent Page: Academic Departments id: 22702 Active Page: New Patient Formsid:25496

New Patient Forms

Directions and Parking Information

 

All new patients, please bring the following to your appointment:

►Driver's license or official photo identification.

► Insurance/Health Plan Cards

► Medical records as requested by the schedulers.

►Complete list of medications (including dosages), and over-the-counter medications.

►Completed New Patient forms (see below). If you do not complete the forms in advance, please plan to arrive 20 minutes prior to your appointment time, and we will be happy to assist you.

New Patient Registration (all new patients)

Comprehesive Consent Form (all new patients)

Adult Outpatient Intake Form (over 18)

Child and Adolescent Intake Form (under 18)

 

  • All new adult, child, and adolescent new patients or referrals(405) 271-5251 (Option 2)
  • All patients to schedule/reschedule a return appointment:  (405) 271-5251 (Option 2)
  • Medication refills or questions: (405) 271-5251 (Option 3)
  • Billing Questions: (405) 271-5251 (Option 6)
  • Neuropsychology: (405) 271-4488
  • Clinic Fax for Referrals and Pharmacy Requests: (405) 271-5367
  • Medical Records: (405) 271-2374 
  • Thrive IOP Program (OU-Edmond): (405) 359-5507 or 1-855-625-1680