Oklahoma Department of Human Services Forms

This form is used for applying for disaster food benefit assistance in Oklahoma.

This form is used for renewing medical benefits in Oklahoma.

This type of document is used to renew medical benefits in Oklahoma for Spanish-speaking individuals.

This type of document is used for submitting a budget proposal for potential eligibility in Oklahoma.

This form is used for notifying Oklahoma residents about their required medical services.

This form is used for assessing assets in Oklahoma.

This Form is used for consenting to release information and/or appointing an authorized representative for nursing facility care in Oklahoma.

This form is used for filling out the Title XIX Work Sheet in the state of Oklahoma.

This Form is used for applying for long-term care services through the Hospital Presumptive Eligibility program in Oklahoma.

This form is used for providing asset information in the state of Oklahoma. You must fill out this form to provide details about your assets.

This form is used for authorizing medical examination and billing in the state of Oklahoma.

This document is used for reporting the birth of a newborn child of a member of Soonercare in Oklahoma.

This form is used for creating a Supplemental Needs Trust in Oklahoma.

This Form is used for submitting the daily census report for the state of Oklahoma. It provides information on the number of individuals present in different facilities on a daily basis.

This form is used for creating a Medicaid Income Pension Trust in Oklahoma.

This form is used for providing information about Medicaid estate recovery liens in Oklahoma.

This form is used for creating a service plan for the SSI-DCP program in Oklahoma.

This document is a consent form used in Oklahoma for the disclosure of personal information and appointment of a representative.

This document is used to provide a summary of the social aspects of a patient's medical condition in Oklahoma.

This Form is used for informing pregnant women in Oklahoma about their potential eligibility for Soonercare (Medicaid) benefits. (Spanish version)

This form is used for notifying clients in Oklahoma about their long-term medical care options.

This form is used for individuals in Oklahoma to acknowledge their responsibilities and provide their signature for receiving benefits.

This form is used for notifying the relevant authorities about a patient in a nursing facility in Oklahoma.

This form is used for providing eligibility information for benefits in the state of Oklahoma.

This Form is used to provide information on eligibility for benefits in Oklahoma. It is written in Spanish.

This document is a Medicaid Computation Worksheet specifically for the state of Oklahoma. It is used to calculate eligibility for Medicaid benefits.

This document is used for reporting a physician's examination in the state of Oklahoma.

This Form is used for managing recipient's funds in Oklahoma.

This Form is used for documenting the rights, responsibilities, and signature for benefits in Oklahoma. It is written in Spanish, and is designated as Formulario 08MP003S (FSS-1-B).

This document is used for completing a citizenship affidavit in the state of Oklahoma.

This form is used for renewing benefits in Oklahoma.

This form is used for requesting authorization for someone to represent you in Oklahoma.

This Form is used for an Identity Affidavit in the state of Oklahoma. It is used to legally establish the identity of an individual for various purposes.

This form is used for requesting citizenship verification in the state of Oklahoma.

This form is used for applying for a respite voucher for children with special health care needs in Oklahoma.

This form is used for registering to vote in the state of Oklahoma.