In short, the answer is yes! Please feel free to visit http://omma.ok.gov to learn more or feel free to call us at (580) 745-5353 or stop by our store at 504 N 1st Avenue Durant, OK 74701.
In order to sufficiently complete the Minor’s application process, the following information is required about the minor patient:
- Full name
- Residence and mailing address
- Date of birth
- Telephone number and email address (if applicable)
- Information about two recommending physicians
The following information is required about the parent or legal guardian:
- Full name
- Residence and mailing address
- Date of birth
- Telephone number and email address
- Signature dated within 30 days of the application date
The following unexpired, valid documentation is required for the minor patient:
- Proof of identity (digital, color copy of one of the following):
- Oklahoma driver’s license (front and back)
- Oklahoma identification card (front and back)
- U.S. passport or other photo identification issued by the U.S government
- For minors who do not have the items above, a certified copy of the minor’s birth certificate (please note that the seal/watermark will need to be visible when uploading the document)
- Tribal identification card approved for identification purposes by the Oklahoma Department of Public Safety:
- United States Bureau of Indian Affairs identification card or a Oklahoma tribal photo identification cards: Muscogee (Creek) Nation of Oklahoma, Kiowa, Comanche, Apache of Oklahoma, Absentee Shawnee, Cheyenne-Arapaho, Choctaw, Delaware, Caddo Nation of Oklahoma issued on or after Jan. 9 2008.
- A clear, color, full-face digital photograph
- First Physician Recommendation Form
- Second Physician Recommendation Form dated within 30 days after the First Physician Recommendation Form and dated within 30 days before the application submission date
- If applicable, the minor’s Medicaid (SoonerCare) or Medicare insurance card or enrollment documentation
The following documentation is required for the parent or legal guardian:
- Proof of Oklahoma residency (digital, color copy of one of the following):
- Oklahoma driver’s license (front and back)
- Oklahoma identification card (front and back)
- Oklahoma voter identification card
- A utility bill for the calendar month preceding the date of application, excluding cellular telephone and internet bills.
- A residential property deed to property in the State of Oklahoma.
- A current rental agreement for residential property located in the State of Oklahoma
- Proof of identity (digital, color copy of one of the following):
- Oklahoma driver’s license (front and back)
- Oklahoma identification card (front and back)
- U.S. passport or other photo identification issued by the U.S government
- For applicants who do not have the items above, a certified copy of the applicant’s birth certificate (please note that the seal/watermark will need to be visible when uploading the document)
- Tribal identification card approved for identification purposes by the Oklahoma Department of Public Safety:
- United States Bureau of Indian Affairs identification card or a Oklahoma tribal photo identification cards: Muscogee (Creek) Nation of Oklahoma, Kiowa, Comanche, Apache of Oklahoma, Absentee Shawnee, Cheyenne-Arapaho, Choctaw, Delaware, Caddo Nation of Oklahoma issued on or after Jan. 9, 2008.
- A clear, color, full-face digital photograph.
- If applicable, documentation establishing legal guardianship.
Please visit http://omma.ok.gov/minor-patient-application-information1 to learn more about the OMMA application process for minors.
