Forms & Payments
You can view a list of cash prices for some of our most common services in the viewer.
In order to offer the highest quality, affordable health care to our patients, it’s necessary to collect fees at the time services are provided.
- Private Insurance
- Medicaid/Sooner Care
Patients without insurance may pay on a sliding fee scale, which is based on proof of household income and the number of people in your household. Call one of our financial counselors today to learn if you qualify for this discounted fee.
Select the links below to download and print forms.