Patient Forms

New patients, or patients who have not been seen in the past 12 months or who have a new condition, will need to complete several forms.  It is very helpful if these are completed before you arrive for  your appointment.  


Please click on the appropriate links below to view the patient forms, which you may complete online and print to bring to your appointment.  For instructions on electronically signing your forms, please click here


Patient Demographic form (required for all patients)

Health History form (required for all patients)

Patient Consent & Financial Policy (required for all patients)

Pain Medication Policy

Medical Record Request form

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For the convenience of our patients, we offer three locations in Tulsa and the surrounding area.



Neurosurgery Specialists

6767 S. Yale Avenue

Suite A

Tulsa, Oklahoma 74136


Driving Directions




Warren Clinic Medical Bldg

715 N. Foreman Street

Vinita, Oklahoma 74301



Driving Directions




Medical Arts Building

333 South 38th Street

Suite A

Muskogee, Oklahoma 74401


Driving Directions