State of Oklahoma Forms

IMPORTANT REMINDER - These forms were developed by a provider workgroup facilitated by OHCA. The forms contain the elements required for SoonerCare. If your agency has other funding sources it is important to include their requirements in your forms.

The State of Oklahoma treatment plan is not accepted for APS Healthcare Outpatient Request.  

State of Oklahoma BH Treatment Plan

State of Oklahoma Progress Note

State of Oklahoma Screening and Assessment Form

State of Oklahoma Daily/Weekly PSR Note

APS Healthcare | 4545 N. Lincoln Blvd., Suite 103 | Oklahoma City, OK  73103
Call 800-762-1560 or 405-556-9700 | Fax 800-762-1639