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Instructions for Patients prior to coming for your appointment:

  1. Go to OMMA.OK.GOV and create an account for yourself.

  2. Bring the email and password with you so we can get your paperwork processed.

THIS MUST BE DONE PRIOR TO COMING IN! 

THERE WILL BE A $20 CHARGE FOR PROCESSING IF NOT AND YOU WILL HAVE TO COME BACK ANOTER TIME FOR PROCESSING 

  • On this website print off the patient intake forms (below). Fill the paperwork out and sign it and bring it with you to the appointment. 

  • Bring a driver’s license or state ID, any Veteran ID, Medicare, Medicaid, or Sooner Care cards.

  • Medical records are optional. If you have them, bring them and, if not, that’s ok.

  • Bring $125 cash for the doctor ($80 for Veterans)

  • Bring a credit/debit card for the OMMA processing fee - ($104.30 unless you are Medicare, Medicaid, or Sooner Care then it is $22.50)

  • If you want us to process your application it will be an extra $10 cash please. (This includes taking your picture and submitting everything to OMMA)

We are located at 2309 S I-35 Service Rd. Moore, OK 73160 

(Just South of 19th Street on the West side Service Road next to Vapor World)


 

Download Intake Forms

 

Book An Appointment At Green Hope Wellness