New Patients

Everyone deserves good, reliable, accessible and low-cost health care.  Unfortunately, Health for Friends current financial situation only allows us to see a very specific clientele.  If you meet the eligibility criteria, please bring the required documents to Health for Friends to schedule an appointment.

Eligibility Criteria:

1. 18 years of age or older
2. Norman Resident
3. At or Below 125% of 2009 Poverty Guidelines (see chart)
4. No Insurance
   
   • No private insurance, medicaid, medicare, veterans benefits, or indian health services

Required Documents:

• Proof of Residency:
  
  1. Utility bill, or
  2. Recently received mail, or
  3. Notarized letter from friend/family member
• Proof of Income:
  
  1. Current pay stub / unemployment check stub
  2. Recent tax return / most recent W2
  3. Notarized letter from employer stating your income
  4. Notarized letter from friend/family stating that you are unemployed
• Completed Forms: Patient Application and Patient Contract

Forms:

• Patient Application
• Patient Application SPANISH
• Info Sheet & Patient Contract
• Info Sheet & Patient Contract SPANISH
• Dental Registration and History
• Dental Registration and History SPANISH