Medical Micropigmentation Applications and Forms

• Renewal Application
• Affidavit of Lawful Presence Form
• Complaint Form
• Initial Application Form
• Instructor Application Form
• Licensee Change of Information Form
• Reinstatement Application Form
• Supervising Physician Change Form
• Training Verification Form (for approved instructors/schools only)

Location and Contact Information

Mailing Address:
Consumer Health Service
PO Box 268815                  
Oklahoma City, OK 73126 

Physical Location:
Oklahoma State Department of Health
Consumer Health Service
1000 N.E. 10th Street
Oklahoma City, OK 73117

Contact Information:
Phone: (405) 271-5243
Fax:     (405) 271-5286
Email:  CHSLicensing@health.ok.gov