If you have an appointment scheduled at the Oklahoma Kidney Stone Treatment Center, you will need to read and complete the following documents. Bring the forms that are indicated below. This will save you having to complete them when you come to your appointment.
Click on form to open, then complete the required information and print (bring these to your appointment)
- Patient Information Form Your information –Complete and print – “Bring this form to your appointment.”
- Patient Health Questionnaire Your Health information –Complete and print – “Bring this form to your appointment.”
- Patient Bill of Rights and Responsibility Your Rights-information page.
- Notice to Patients Physicians Disclosure-information page.
- Notice to Patients Acknowledgement Acknowledgement – print and complete – “Bring this form to your appointment.”
- Non-Discrimination Statement Statement – Discrimination is agaist the law”