Patient Information Forms

13512 N. Eastern Ave., Ste A

Oklahoma City, OK 73131

Phone: (405) 478-JEFF (5333)

Fax: (405) 478-5334

Office Hours

Monday, Wednesday, Friday: 8:00am - 5:30pm

Tuesday: 8:30am - 4pm

Thursday: 1:30pm - 5:30pm

Closed: Saturday & Sunday

*We do NOT accept Sooner Care or Medicaid*

You can download the Patient Information Form (PDF format) below and complete the paperwork. Bring the completed form with you on your first visit. This will help speed up the process to getting your treatment started. If you have questions regarding the paperwork, please feel free to contact our office and we'll be happy to assist you!

We are not providers for the following companies.  We will still bill these insurance companies, but will only be covered at the "out-of-network" benefit level:



Cigna

Aetna

Community Care


Insurance

We provide billing service and will gladly check your benefits for you. We collect co-payments at the time of each visit and provide a flexible payment plan for our patients. If you do not have insurance, we offer discounted-cash pay rates.  We accept cash, checks, debits cards, Visa, Mastercard, Discover, Flex-spending account cards, and Care Credit.


We accept most public and private insurance plans.


In-Network with the following:

MediCare
Blue Cross/Blue Shield
BCBS Federal
HealthChoice
TriCare Standard
United Health Care
Blue Cross Advantage
Coventry/MHBP

GEHA

Secure Horizons

Workers' Comp
Accident Claims