Allenhealthclinic.com

Home / — Allen Health Clinic

WEBCall our office today at (580) 857-2424 to schedule an appointment. Email: allenhealthclinic@gmail.com.

Actived: 6 days ago

URL: http://allenhealthclinic.com/home-2/

Provider / — Allen Health Clinic

WEBAfter working for the hospital in the Allen Health Clinic for the last 7 months she decided to purchase the clinic. With this purchase she hopes to bring new services at lower costs to …

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Patient Forms / — Allen Health Clinic

WEBPaperwork/Patient Forms. Allen Health Clinic would like to help make your office visit run as smoothly as possible. To help facilitate this process we have provided our patient forms …

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Services / — Allen Health Clinic

WEBWe are proud to provide complete care for women during every life stage. Services Include *Well Woman Exams *Pap Smears *STD screening and treatment

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Hormone Wellness / — Allen Health Clinic

WEBPlease contact our office for a consultation or appointment. Common Symptoms of Hormone Imbalance. Difficulty Sleeping at Night. Lack of Energy and Fatigue During the …

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Contact / — Allen Health Clinic

WEBContact Us [contact-form to='[email protected]' subject='Allen Health Clinic Contact Form'][contact-field label='Name' type='name' required='1'/][contact

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Patient Information Form

WEBPatient Information Form Date: Middle Initial: Last Name: Age:SSN: Marital Status: Married Divorced Single Domestic Partner State:Zip: Work Phone:Cell Phone: Email

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Allen Health Clinic

WEBAlong with keeping up with recommended pap smearing screenings, there is no question that women need an annual well-woman exam with their healthcare provider for other …

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Essential Elements of an Annual Well-Woman Examination

WEBAlong with keeping up with recommended pap smearing screenings, there is no question that women need an annual well-woman exam with their healthcare provider …

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Privcay Notice Acknowledgement

WEBSIGNATURE (Clinic Representative): I attest that the above information is correct: Signature: Date: Print Name: Title: Include this acknowledgement form in the individual's …

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Patient Health History

WEBList any SURGERIES and YEAR it was performed: First day of last menstrual period: Age of first period: How often do you have a period? How many days does your period last?

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OKLAHOMA STANDARD AUTHORIZATION TO USE OR SHARE …

WEB1. Indicate patient name and date of birth . 2. OPTIONAL: Indicate Medical Record # and/or Social Security #. 3. Indicate the name of person/organization disclosing PHI.

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