Patient Forms - Oklahoma Surgical Hospital

Patient Forms

Completing these forms prior to your arrival will help expedite your Admissions process. If you have questions or need additional information, please contact our Admissions office at 918-477-5313.

Surgical Patients

Patient Information Form
Statement of Disclosure Form
Pre-Anesthesia Patient Questionnaire
Notice of Privacy Practices

Cath Lab Patients

Patient Information Form
Statement of Disclosure Form
Pre-Anesthesia Patient Questionnaire
Notice of Privacy Practices

Endoscopy Patients

Patient Information Form
Statement of Disclosure Form
Notice of Privacy Practices

Pain Center Patients

Patient Information Form
Statement of Disclosure Form
Ride Information Form
Notice of Privacy Practices

Imaging Center Patients

Patient Information Form
Statement of Disclosure Form
Notice of Privacy Practices

Physical Therapy Center Patients

Medical History Form
Patient Information Form
Cancellation Form

Radiation Oncology Patients

Patient Information Form
Medical History Form
Statement of Disclosure Form
Notice of Privacy Practices

Patients Requesting Medical Records

Authorization to Use or Disclose Health Information Form

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