Provider Orders

 

Fax Order Forms

  • Click on Order Form icon below.
  • Select applicable Order Form.
  • Complete the Order Form.
  • Print the Order Form.
  • Fax Order Form to (405) 844-9849.

Include Details

  • Patient demographics.
  • Patient insurance information.
  • Patient history.
  • Patient chart notes.

Confirmation

  • We do the preauthorizations.
  • We schedule the patient.
  • We keep you informed.

Order Forms

 

Allergy & Asthma
Dermatology
Gastroenterology
Iron
IVIG
Neurology
Osteoarthritis
Osteoporosis
Pulmonary
Rheumatology
Wellness IVs
Specialty Injections
Port Flushes

Back