Front Desk
Save Time on Paperwork

Please either Fill & Print the Fillable pdf forms by downloading the "Patient Registration Packet" below or simply Print & Handfill them and bring them to the office on the day of your first visit:

 


Please read and keep the following for your information.

   Notice of Privacy Policy   
   Frequently Asked Questions


Please also bring all of the following

   PT Prescription / Referral from your physician
   Insurance Card (s)
   Drivers License
   Operative Report
   MRI, X-ray or CT scan
   List of Medications presently taking
   Your schedule of activities other than PT
OptumHealth (UHC) Patients only

All OptumHealth patients please fill out the following form:

Patient Summary Form (PSF-750)

All OptumHealth Patients must also fill out one of the following according to your condition:

Back Index
Neck Index
Disabilities of the Arm, Shoulder & Hand
Lower Extremity Functional Scale
Est. 1996
Oklahoma City
Azhar Therapy & Fitness
3410 NW 135th Street
Oklahoma City, OK  73120

(405) 752-7377  phone
(405) 752-7387  fax
Azhar PT
© 2009 Azhar Therapy & Fitness, Inc
Azhar Facebook
Azhar Blogger
Azhar Twitter