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:
Please read and keep the following for your information.
Please also bring all of the following
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
© 2009 Azhar Therapy & Fitness, Inc
OptumHealth (UHC) Patients only
All OptumHealth patients please fill out the following form:
All OptumHealth Patients must also fill out one of the following according to your condition: