Workers' comp release reports, Service Oklahoma placard and license forms, SoonerCare requests, sports physicals and medical marijuana recommendations, with who completes each.
Oklahoma's forms come from the Workers' Compensation Commission, Service Oklahoma, the Oklahoma Health Care Authority (SoonerCare), Oklahoma Human Services and the Medical Marijuana Authority (OMMA). Clinicians meet these most: the OSSAA Physical Evaluation Form, the OMMA Physician Recommendation Form for adult patients, the Physician's Report on Release and Restrictions (CC-Form-5), the Physical Disability Parking Placard Application (DPS 302DC) and the SoonerCare Prior Authorization Request (HCA-12A). This page lists all 24 Oklahoma forms, grouped by program.
The OSSAA physical needs a handwritten, dated signature; stamps are not accepted. For a placard, the patient can start online and Service Oklahoma emails the physician a link to complete their section, and applications expire 60 days after the physician signs. The patient uploads an OMMA recommendation within 30 days of the physician's signature. Only a physician may sign the school Certificate of Medical Exemption. Spanish versions exist for 3 of these forms.
Physician's report of whether the claimant is released to regular or modified work or remains temporarily totally disabled, with specific restrictions and need for continuing medical maintenance or vocational rehabilitation.
Provider certifies an autism spectrum disorder diagnosis so the individual can add a voluntary autism designation to their Oklahoma driver license or ID (47 O.S. 6-125).
Provider certifies an epilepsy diagnosis so the individual can add a voluntary epilepsy designation to their Oklahoma driver license or ID (47 O.S. 6-130).
Physician certifies a qualifying mobility, respiratory, cardiac or vision condition for a temporary (up to 6 months) or 5-year disability parking placard.
HCA-12APaper prior authorization request for SoonerCare medical services, DME and other services needing PA, with prescribing physician's prescription and diagnosis.
CH-1 to CH-16Age-specific EPSDT well-child visit documentation templates covering history, screenings, exam, anticipatory guidance and referrals.
Certifies that non-emergency ground or air ambulance transport is medically necessary for a SoonerCare member.
Physician certifies medical necessity for home oxygen equipment for a SoonerCare member.
Physician orders diapers, pull-ons, liners, underpads, wipes and gloves for a SoonerCare child aged 4-20.
Requests SoonerCare prior authorization for physical, occupational and speech therapy.
Universal petition for medication prior authorization when no drug-specific form applies.
Physical examination and parental consent certificate each student must file with the school before OSSAA participation.
Physician certification that specified immunizations are medically contraindicated for a child attending Oklahoma school, child care or Head Start.
ODH Form No. 351 K39Medical documentation required by 7 CFR 246.10(d) for WIC to issue exempt infant formula, WIC-eligible nutritionals or non-contract formula, and to modify WIC foods, for a participant with a qualifying medical condition.
Physician recommends a 2-year or 60-day temporary medical marijuana patient license and optionally certifies the need for a caregiver.
Two physicians each recommend a medical marijuana license for a patient under 18.
Recommending physician notifies OMMA that a patient no longer meets the requirements for medical marijuana so the patient's (and associated caregiver's) license is terminated.
Secure web-based case report of a reportable disease or condition (Title 63 O.S. 1-503; OAC 310:515) by a health care provider to OSDH.
Online report of suspected abuse, neglect or exploitation of a vulnerable adult to Adult Protective Services.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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An Oklahoma-licensed MD, DO or podiatric physician in good standing who is registered with OMMA. From January 1, 2026, physicians must also complete an initial medical marijuana education course, then annual CME. Oklahoma has no qualifying-condition list, so the condition section is optional. The form recommends a 2-year or 60-day temporary license and can certify the need for a caregiver. The patient uploads it in the OMMA MedPortal within 30 days. Minors need two physicians.
A physician licensed in medicine and surgery, osteopathic medicine, chiropractic, podiatric medicine or optometry; a licensed physician assistant; or a licensed and certified APRN. They complete Section 2 of the DPS 302DC for a mobility, respiratory, cardiac or vision condition. Placards are temporary (up to 6 months) or 5-year; lifetime permanent placards are no longer issued. The application expires 60 days after the physician signs.
The treating physician reports whether the claimant is released to regular or modified work or remains temporarily totally disabled, with specific restrictions and any need for continuing medical maintenance or vocational rehabilitation. The physician completes Sections I to III and certifies the report under penalty of perjury. Copies go to the employee or claimant and all other parties of record.
No earlier than May 1 of the preceding year. A qualified physician, physician assistant or advanced practice nurse covered by professional liability insurance completes the physical examination and clearance. The signature must be handwritten and dated; stamps are not accepted. The student files the form, with parental consent, at the school before taking part in OSSAA activities.