Oklahoma State Department of Health Forms

This form is used for long-term care aides in Oklahoma to affirm their completion of training.

This form is used for applying for an exemption from the nurse aide training requirement in the state of Oklahoma.

This document is an application and agreement for healthcare facilities in Oklahoma to become designated as a Yellow Fever Vaccination Center. It outlines the requirements and responsibilities for becoming a designated center and providing yellow fever vaccinations.

This Form is used for requesting an Informal Dispute Resolution (IDR) for residential care in Oklahoma.

This form is used for reporting instances of abuse, neglect, mistreatment, or misappropriation of property by nurse aides or nontechnical service workers in Oklahoma.

This form is used for obtaining consent from a facility in Oklahoma for authorized electronic monitoring.

This document provides a summary of the sites in Oklahoma where the National Registry Psychomotor Examination for Emergency Medical Responders (EMR) and Emergency Medical Technicians (EMT) is conducted. It includes information on the location and availability of the examination sites.

This document is for verifying the training of Emergency Medical Responders (EMRs) and Emergency Medical Technicians (EMTs) in Oklahoma who wish to test at an alternate testing site.

This form is used to provide an affidavit of lawful presence in the state of Oklahoma.

This document provides instructions for completing the OSDH Form 1058 Application in Oklahoma.

This form is used to file a complaint with the Office of Accountability Systems (OAS) in Oklahoma.

This form is used for the renewal or survey of agencies in Oklahoma.

This form is used for renewing or completing surveys for the EMRA (Emergency Medical Responder Association) in Oklahoma.

This document is an incident report regarding a vaccine storage incident in Oklahoma. It provides detailed information and documentation about the incident.

This Form is used for applying for a nurse aide staff position in Oklahoma.

This type of document is used to notify the state of Oklahoma about a change in address or telephone number.

This document is for assessing diabetes management skills through a return demonstration in Oklahoma.

This document is an emergency care plan specifically for individuals with a latex allergy in the state of Oklahoma. It provides a plan of action in case of an allergic reaction and is important for the safety and well-being of those with the allergy.

This document provides a plan for emergency care in Oklahoma specifically for individuals with diabetes who experience hypoglycemia. It outlines the necessary steps to be taken in case of an emergency.

This document is an emergency care plan specifically designed for individuals with asthma in Oklahoma. It provides important instructions and guidelines on how to handle asthma-related emergencies.

This document provides a plan for emergency care for individuals with diabetes who experience hyperglycemia in the state of Oklahoma.

This document is used for logging and tracking diabetes management activities and important information. It helps individuals in Oklahoma keep organized records of their blood sugar levels, medication usage, exercise, and dietary habits.

This document is an emergency care plan specifically for individuals with a seizure disorder in the state of Oklahoma. It outlines the necessary steps and information for providing immediate care during a seizure emergency.

This form is used for determining eligibility for the "Take Charge!" program in Oklahoma.