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Front Desk
Save Time on Paperwork

Please print and complete the "New Patient Registration" packet and bring it to the office on the day of your first visit:

   New Patient Registration

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
Azhar Therapy & Fitness
3705 W Memorial Rd, Suite 608
Oklahoma City, OK  73134

(405) 752-7377  phone
(405) 752-7387  fax
Azhar PT
© 2009 Azhar Therapy & Fitness, Inc
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Est. 1996
Oklahoma City
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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
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