Call for appointment (405) 857-8880
THE CARE YOU NEED, FASTER!
Please complete all applicable patient forms prior to arriving for your scheduled appointment. In doing so, it will expedite the registration and triage processing time before your appointment with the provider.
PATIENT PRE-SCREENING COVID-19 QUESTIONNAIRE
Please complete the Patient Pre-Screening COVID-19 Questionnaire and submit it prior every visit.
NOTICE OF PRIVACY PRACTICE
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
New Patient Registration Forms
Start off your first primary care visit with us by completing the new patient form(s) below.
Please complete the New Patient Registration Packet entirely, AND only 1 of the 2 patient visit forms:
- Complete the Well Visit patient form if your upcoming appointment is scheduled for a Wellness Exam
- Complete the Sick Visit patient form if your upcoming appointment is related to anything other than a Wellness Exam.
Return Patient Intake Forms
Please complete only 1 of the 2 Return Patient forms.
- Complete the Well Visit patient form if your upcoming appointment is scheduled for a Wellness Exam
- Complete the Sick Visit patient form if your upcoming appointment is related to anything other than a Wellness Exam.
COVID-19 Test Patient Questionnaire
Please fill out this form if your visit is for COVID-19 Testing.
How to Submit Your Forms?
Via Our Website
You may download the forms below and submit your completed documents to our office in advance. To submit your completed downloaded forms, use the “Contact Us” page of our website and selecting the “Attach Files” feature”
STILL HAVE QUESTIONS?
Drop us a line by clicking the button below or by clicking the “Message” icon located at the bottom, right corner of your screen OR call us at (405) 857-8880 for any questions regarding your care!”
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Access your existing PINNACLE medical records via Patient Portal.
Please contact us with any questions, comments, or scheduling inquiries you may have.
Ask about Our Special Services!
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