Lighthouse Healthcare Has 2 Locations to Better Serve You

FIRST VISIT FORMS

 

We are all about service and helping our patients. And, we know your time is valuable. To save yourself some time when you come to see us on your first visit, please fill out our First Visit Forms. You'll find our First Visit Forms below.

DIRECTIONS

PRINT THE FORMS: Just click on the link and download the handy pdf form. Once you've downloaded the forms, you can print them off. OR - Just click on the link and open the pdf forms. You can print them from that screen, if you wish.

FILL OUT THE FORMS: Once you've printed the forms, go ahead and fill them out. This gives you plenty of time to write down your medicines, medical history, and any other information.

BRING THEM WITH YOU WHEN YOU COME IN FOR YOUR APPOINTMENT


 

Patient Demographic

Patient First Visit Information

Patient Health History

Patient HIPPA Compliant Verbal Communication

Patient Privacy Acknowledgement and Advanced Directive

Patient Release of Information

 

 

Our 2 Locations

1211 N. Shartel, Ste 900
Oklahoma City, OK, 73103
(405) 235-5331

1601 SW 89th St, Ste E200
Oklahoma City, OK, 73159
(405) 702-4435

A Beacon to Exceptional Health Care