New Patients

New Patients Start Here

Welcome to the Kidney Specialists of Central Oklahoma.

First time seeing us? Please do ONE of the following below:

  • Complete ONLINE form below and click Send Form, OR
  • Print out, fill and email both PDF forms to:, OR
  • Print out, fill and fax both PDF forms to:  (405) 942-6448, OR
  • Print out, fill and bring both PDF forms below to your first appointment

Please arrive 30 minutes prior to your appointment.

Patient Registration

Important Note: After you click the Send Form button you will see a confirmation message that your form has been submitted successfully. If you do not see this message, please scroll up to check for errors or missing fields. Thank you!

There are several things that you can do to help speed up the check in process:

  • Please bring all current medications in their original prescription bottles. This includes vitamins and supplements.
  • Please make certain to bring your insurance card(s). We will need to make front and back copies when you arrive.
  • If you have a copay, please be prepared to pay that at the time of check-in. If you are not sure what your specialist copay amount is we suggest you call your insurance company to verify the amount.
  • If you are on a managed care plan or HMO, please be advised that it is necessary to obtain referrals or authorizations to see our doctors. If that authorization is not in place, your appointment may be rescheduled. We suggest you call your family physician prior to appointment date to make certain a referral/authorization has been sent.
  • The Patient History form is designed to get a brief medical history from you. This should be filled out in its entirety before your appointment as well as the Patient Registration form.
  • Please come prepared to give a urine sample upon request.

We look forward to providing you with quality, compassionate medical care. If you have any questions, please feel free to call us at (405) 942-5442

​Kidney Specialists of Central Oklahoma

​3366 NW Expwy, Bldg D, Ste 550

Oklahoma City, OK 73112-4489

(405) 942-5442  Phone

(405) 942-6448  Fax

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