ohca logo

oklahoma health care authority

  • about us
  • |
  • individuals
  • |
  • providers
  • |
  • research
  • |
  • contact us
  • |
  • search

individuals

How to Apply

  • Citizenship Guidelines
  • Qualify
  • What to Expect

Programs

  • American Indians
  • Breast & Cervical Cancer
  • Child Health/EPSDT
  • Family Planning
  • Health Management Program
  • Opportunities for Living Life
  • SoonerCare Choice
  • SoonerCare Supplemental
  • SoonerCare Traditional
  • TEFRA
  • Transportation

Benefits

    Policies & Rules

    • HIPAA
    • OHCA Rules
    • Guides & Manuals

    Forms

      Stay Healthy!

        Help

        • Contact Us
        • Find a Provider
        • SoonerCare Language
        • Resources
        Home > Individuals

        Forms and Instructions

        The following content requires Adobe Acrobat Reader.   get Adobe reader

        • Authorization to Release Medicaid Records
        • Autorización para Revelar el Expediente Médico
        • End of Life Legal Forms English | Spanish
        • Member Complaint/Grievance Form (LD-1)
        • SoonerCare Health Benefits Application 
        • Solicitud para Beneficios de Salud de SoonerCare
        • Request for Fair Hearing

        You may find more forms on the Oklahoma Department of Human Services Web site.

        Accessibility Policy | Privacy Policy | Terms of Use | Site Map | Employee E-Mail Access
        Oklahoma’s Medicaid Agency