Please print and complete the Patient Information and Medical History. A Hippa Agreement form will be given to you at your appointment. Bring documents to your initial appointment to ensure that you are taken back in a timely manner. 

RevenueWell is an online patient portal where patients can view past and future appointments, forms, and even make payments online. Click the button to be taken to the patient portal.

Patient Information              Medical History
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Find us

3100 South Berry Road
Suite 110
Norman, OK 73072

Tel: 405.447.9441

Fax: 405.447.9456

© 2015 by Jeffrey P. Austin, D.D.S.