• Phone: (918) 283-4660
  • Fax: (918) 283-4650
1001 North Florence Ave. Claremore, OK 74017
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Home / Patients / Forms

Patient Forms

New Pediatric Patients

We are excited that you have chosen Pediatric Practioners of Oklahoma for your child’s medical care. Your comfort and convenience are our priority, and we strive to make every visit to our office a positive experience. To help you get acquainted with our office and first visit procedures, we have included helpful information on this page.

New Patient Forms

  • Patient Identification Form
  • Medical Release Form
  • Missed Appointment Policy
  • Financial Policy
  • Hipaa Policy
  • Privacy Policy
  • Authorization to Treat
  • Initial History Questionnaire

Medical Release Forms

  • Release Form - from our office
  • Release Form - to our office
Phone: (918) 283-4660
Fax: (918) 283-4650
1001 North Florence Ave.
Claremore, OK 74017
Monday – Thursday 7:30am – 5:30pm
Friday 8:00 – 4:00
Closed for Lunch 12:00 – 1:30

AFTER HOURS: If you have an urgent need that cannot wait until regular hours, call (918) 283-4660.  At the prompt, press 1.  A real person will answer the phone. If needed, a nurse will usually call you back within 30 minutes.

NOTE:  The after hours nurse and answering service cannot provide you information on appointment times or schedule appointments.

If you have a medical emergency, call 911.

Serving Claremore and the surrounding communities.  

Located 3 blocks south of  Hillcrest Claremore Hospital on Florence Avenue

Pediatric Practitioners of Oklahoma © 2025 All Rights Reserved