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If you are in need of assistance, click here to visit our self-service page for immediate answers to some of our most frequently asked questions. 

Forms

Form number

Title
CH-1 Week Old Visit
CH-2 1 Month Visit
CH-3 2 Month Visit
CH-4 4 Month Visit
CH-5 6 Month Visit
CH-6 9 Month Visit
CH-7 12 Month Visit
CH-8 15 Month Visit
CH-9 18 Month Visit
CH-10 24 Month Visit
CH-11 30 Month Visit
CH-12 3 Year Old Visit
CH-13 4 Year Old Visit
CH-14 5 Year Old Visit
CH-15 6 to 10 Year Old Visit
CH-16 11 to 20 Year Old Visit
Last Modified on Nov 17, 2020
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Oklahoma Health Care Authority

4345 N Lincoln Blvd

Oklahoma City, OK 73105

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The Oklahoma Health Care Authority collects the personally identifiable data submitted and received in regard to applications for services, renewals, appeals, provision of health care and processing of claims. This data is treated as confidential and is stored securely in accordance with applicable law and regulations. OHCA may share this personally identifiable data with its authorized business associates, government agencies with jurisdiction over the OHCA, or as otherwise required or permitted by applicable law.