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If you are a new patient, please contact 405-280-5602 for registration.
Patient Type
*
New Patient
Existing Patient
First Name
*
Middle Initial
*
Last Name
*
Date of Birth
*
Insurance
*
-- Select --
A Coventry Company
Beechstreet
BlueCross/BlueShield
BlueLincs
ChoiceCare
Evolutions Healthcare
Generations Healthcare
GlobalHealth
Health Smart
Humana-Military TriCare
Medicare
MHNet
OHN
OHCA
PacifiCare
PBHI
PHCS
PPO Next
Preferred Community Choice
SaintsCare
Student Health
United Health Care
USA Health Network
Value Options
Other
Other
NOTE: Not all of the doctors listed below take all insurances listed. Please contact your insurance company to confirm.
Choose a Doctor:
Doctor (Downtown Location)
-- Select --
Dr. John Bell (Ophthalmology)
Dr. John Dachauer (OB/GYN)
Dr. W. Bradley Johnston (Podiatry)
Dr. Charles Lunn (Family Medicine)
Dr. Michael L. Maidt (Family Medicine)
Dr. Thomas Russell (Cardiology)
Dr. William Shaw (Psychiatry)
Dr. David Vu (Family Medicine)
Erin Miller, PA-c (Family Medicine)
De'Lene Moore, ARNP (OB/GYN)
Pete Foster, PA-c (Family Medicine)
Doctor (Midwest City Location)
-- Select --
Dr. Seana Dean (Pediatrics)
Dr. Gary McGann (Pediatrics)
Dr. Sulabha Mehta (Pediatrics)
Dr. Prithi Reddy (Pediatrics)
Dr. Don Wilber (Pediatrics)
Dr. Courtney Swartz (Pediatrics)
Dr. Wesley Williams (Family Medicine)
Jessica Foster, PA-c (Family Medicine)
Doctor (Edmond Location)
-- Select --
Dr. Brian Levy (Internal Medicine)
Dr. Peter Morgan (Internal Medicine)
Dr. Rickie Conrady (Family Medicine)
Dr. Lauren Garabelli (Pediatrics)
Dr. Susan Redwine (Pediatrics)
Elizabeth Burner, PA-c
Doctor (South)
-- Select --
Dr. Ricky Page (Family Medicine)
Tell us how to contact you:
Preferred Date
Preferred Time
Contact Name (if different)
(Please fill out at least one)
Contact Home Phone
Contact Work Phone
Contact Cell Phone
Tell us why you'd like to see a doctor:
Reson for visit, select one:
Annual Physical
Well Woman
Well Child
Blood Pressure
Cholesteral
Diabetes
Medication Review
Mammography
Diabetes Education
Other
Brief Description
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