Oklahoma Hand Surgery Center, Inc.

Physician:  Kenneth A Hieke, MD                  Daron C. Hitt, MD
 HOME PAGE    Practice: About Us   Prescriptions   Patient Information   Links   E-Mail Us

Patient Forms

Having these forms in hand and filled out when you arrive will speed your processing time,

These are fill-in forms to be completed on your computer and then printed

      Fill in and Print a:
                                    * New Patient Information form if you are a new patient or your personal information
                                       has changed since your last visit.
                                    * Health History Questionnaire for your first visit and if your last visit was over 30 days ago
                                       or if  you have had a change in your health status.
                                    * Prescription acknowledgement on your first visit.  Please sign your forms.

                                 1.   New Patient Information form  requires Adobe Acrobat Reader

                                 2.   Health History Questionnaire    requires Adobe Acrobat Reader

                                  3.  Prescription acknowledgement  requires Adobe Acrobat Reader

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Physician: Kenneth A Hieke, MD              Daron C. Hitt, MD
 HOME PAGE   Practice: About Us   Prescriptions   Patient Information   Links   E-Mail Us