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Have you been seen by a Utica Park Clinic provider in the last two years?
*
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Yes
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Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Cancer Care
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
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Preferred Clinic Location
- None -
Bixby
Bristow
Broken Arrow North
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Catoosa
Claremore
Cleveland
Cushing
Glenpool
Henryetta
Jenks
Okemah
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Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
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Appointment Date Requested
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30
31
Day
Year
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2025
2026
Year
Message|Additional Comments
Submit
Photo:
×
Request An Appointment
Photo:
×
Request An Appointment
Photo:
×
Request An Appointment
Contact Utica Park Clinic
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
*
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
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California
Colorado
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Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Phone Number
*
Email Address
*
Date of Birth
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Month
Jan
Feb
Mar
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May
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Jul
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Sep
Oct
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Dec
Month
Day
1
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1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Cancer Care
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Oncology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Urology
Wound Care
Preferred Clinic Location
- None -
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Claremore
Cleveland
Cushing
Glenpool
Henryetta
Jenks
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
Submit
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Request An Appointment