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Atoka County Medical Center
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Call Today: (580) 889-3333
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      • Richard Helton, D.O.
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Patient Forms

Patient Forms and Information

patient talking to female doctorAtoka County Medical Center in Atoka, Oklahoma, welcomes you to our hospital. For your convenience and to expedite service, you may preregister online by completing the interactive form(s) below, or you may download and print the form(s), fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Also, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.

 

 

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Downloadable Forms

 

  • CMS NO Suprise Billing Factsheets
  • New Patient Registration
  • Health History

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Insurance / Payment / Billing

At Atoka County Medical Center, we accept most major insurance plans. Please contact your insurance company or you may call our office at (580) 889-3333 to find out if we accept your plan.

If your insurance plan requires you to pay a co-payment, co-insurance, and/or a deductible, you will need to pay at the time of your visit. For your convenience, we accept cash, checks, Visa, MasterCard, Discover, and American Express.

Downloadable information:

    • Financial Assistance Policy
    • Charity Application
    • Atoka County Medical Center Standard Charges

 

If you have a question related to your bill or insurance, please contact our billing specialists at (580) 889-3333.

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Our Blog

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Patient
Education

Learn more about the conditions treated at Atoka County Medical Center with our A-Z patient education library.

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Atoka County Medical Center in Atoka, OK, provides comprehensive healthcare services to the community. Our specialties and services include Emergency Services, Imaging (CT, MRI, Ultrasounds, X-rays, Echo), Laboratory (24 hours/7 days a week), Surgical Services, Outpatient Services, Physical, Occupational, and Speech Therapy, Pediatric Therapy, Swingbed Program, and Therapeutic Infusions.