The Higher Care Clinic New Patient Application - Oklahoma
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This application is for residents of Oklahoma, if you're a resident of another state, please find the proper application.
This form is for ADULT PATIENTS ONLY.  If you are applying on behalf of a Pediatric Patient, please click here.
Application Information
This application should take about 15 minutes to complete, please make sure to set aside this amount of time before beginning. This application is for NEW patients.

Steps:
1. Complete this medical questionnaire.
2. Check for a NEW email from: The Higher Care Clinic. virtualvisits@tulsahighercareclinic
3. Click the appointment link in this email to schedule your virtual visit. 

If you have any questions about the process or OMMA Regulations, please call the clinic or visit https://oklahoma.gov/omma/faqs.html

Clinic Fee:
$75 - Includes doctor visit and upload assistance

State Fees:
$104.30 if you do not have Medicare, Medicaid, or SoonerCare
$22.50 with proof of Medicare, Medicaid, or SoonerCare

The State typically takes 7-14 Business Days to process application and Medical Card is sent via USPS
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