Cohesive Family Medicine
HomeAbout UsServices
Patient Forms
Patient Portal
Billing
FAQs
HomeAbout UsServices
Patient Forms
Patient Portal
Billing
FAQs
Contact Us

Patient Forms

We make your first visit
smooth

We realize no one likes paperwork, but if it is your first time visiting our office, there are some required forms you will need to complete. We have tried to make the process as simple as possible. All of our forms are available online for your convenience, so you can complete them ahead of your appointment.

Once you have completed your forms, you can either bring them with you
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Email them to

clinicinfo@cohesivefp.com

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Fax them to us at

(405)-857-3122

If you have any questions while completing our forms or have questions about what to bring to your appointment, please don't hesitate to give us a call at (405)-585-2030.

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New Patient Packet

PDF
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Established Patient - Annual Update Packet

PDF
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Authorization to Disclose Information

PDF
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Minor Consent to Treat

PDF
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Authorization for Release of Medical Records

PDF
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Your Health, Our
Commitment

Quick Links

HomeServicesAbout Us
Patient Form
Patient Portal
Billing
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Location

2508 N Harrison Ave,
Shawnee, OK 74804

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Fax number

(405)-857-3122

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Phone number

(405)-585-2030

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Clinic hours

Monday–Friday: 8AM – 5PM
Lunch: 12PM - 1PM

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Cohesive Family Medicine

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