Applications for your providers may be obtained online from the following site, http://www.ok.gov/health/Community_Health/Community_Development_Service/Primary_Care_&_Rural_Health_Development/index.html.
Please have each provider seeking participation as a Charitable Health Care Provider fill out an application on-line, print, sign and return the application to the address listed below. If your providers refer to or will refer to a specialist physician in a private practice setting, please list above, each specialist physician's name and location. The Office of Primary Care will contact the specialist physician for enrollment in the program.
Mail completed Provider Applications to: