Thank you for filling out the form.
Completing the form allows us to determine your insurance coverage. Our office will be in touch with you within the next 2 business days to confirm your information, if we have not already spoken. The next step is to view our informational seminar below. You can choose to watch it here or set up a time to view it in the office. Please call the office at 405-515-2049 with any questions regarding receipt of patient form, status of insurance coverage, video questions, or packet questions. Please do not submit another Patient Form.