Request An Appointment

If you are a current DMEI patient, please click on the MyChart link at the top of the page to request an appointment

You may use the form below to submit an appointment request. Requests are reviewed during normal business hours.
If you have an urgent need, we ask that you call 405.271.6060 or 800.787.9012.

If you are experiencing an emergency, please call 911 or go to the nearest hospital.

"*" indicates required fields

Name*

First Name * Middle Initial Last Name *

Email*

Phone*

Are You Making an Appointment for a New or Existing Patient?*

New Patient

Existing Patient

Age of Patient

Who is your current provider?

Your Inquiry

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