The Higher Care Clinic Application - Oklahoma
This application should take between 20 and 30 minutes to complete, please make sure to set aside this amount of time before beginning.
If you have any questions about the process or OMMA Regulations, please call the clinic or visit
https://oklahoma.gov/omma/faqs.html
* Required
Email address
*
Your email
This application should take between 20 and 30 minutes to complete. Please make sure to set aside this amount of time before beginning.
Also, this application is for residents of Oklahoma, if you're a resident of another state, please click back to find the proper application.
The Following fees must be paid before receipt of license
Clinic Fee - $75
State Fee - $104.50
The State typically takes 7-14 Business Days to process application
Who referred you?
*
Your answer
Next
Page 1 of 12
Never submit passwords through Google Forms.
This form was created inside of Tulsa Higher Care Clinic.
Report Abuse
Forms
