Hillcrest COVID-19 Call Center
Operators are available Monday - Friday from 8 a.m. to 5 p.m. to answer your questions and connect you with a health care provider. Call 918-574-0920.

For more information call us at   (918) 376-8000

Patient Forms

Male

Please fill out the following forms:

Male (any age) Form(s) 200288

Please fill out the following forms:

Male (any age) Form(s) 200290 and 200511

Please fill out the following forms:

Male (over 12) Form 200338

Male (under 12) Form 200338  *page #4 only

Please fill out the following forms:

Male (any age) Form(s) 200292

Please fill out the following forms:

Male (any age) Form(s) 200288 and 200289

Female (OVER 12)

Please fill out the following forms:

Female (over 12) Form(s) 200288 and 200545

Please fill out the following forms:

Female (over 12) Form(s) 200290 and 200545

Please fill out the following forms:

Female (over 12) Form 200338 and 200545

Please fill out the following forms:

Female (over 12) Form(s)200545 and 200292

Please fill out the following forms:

Female (over 12) Form(s) 200288, 200545 and 200289

Please fill out the following forms:

Female (over 12) Form(s) 200545

Please fill out the following forms:

Female (over 12) Form(s) 200545

Female (UNDER 12)

Please fill out the following forms:

Female (under 12) Form(s) 200288 and 200545

Please fill out the following forms:

Female (under 12) Form(s) 200290 and 200545

Please fill out the following forms:

Female (under 12) Form 200338  *page #4 only and 200545

Please fill out the following forms:

Female (under 12) Form(s) 200292 and 200545

Please fill out the following forms:

Female (under 12) Form(s) 200545, 200288 and 200289

Please fill out the following forms:

Female (under 12) Form 200545

Please fill out the following forms:

Female (under 12) Form 200545