Licensed Midwives Program Applications and Forms

When mailing any forms, send to:

Licensed Midwives Program
Oklahoma State Department of Health
PO Box 268815
Oklahoma City, OK 73126-8815

• Application Form
• Affidavit of Lawful Presence (Must accompany all new applications for licensure)
• Breech Form
• Disclosure Form
• Document Submission FAQ
• Emergency Transport Plan Template
  
• Informed Consent Form
• Military Reciprocity Form
• VBAC Informed Consent Form
• Twin Informed Consent Form
  
• External Cephalic Version Consent Form Template
• Renewal Form
• File A Complaint
  
• Information Update