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Current Provider Information

Contracted Facilities

Oklahoma Take Charge (Medicare) Reimbursement Rates

Clinical Guidelines and Orders

Guidelines for Take Charge Funded Services

Eligibility Forms

Provider License/Insurance Submission Form

(This is for new providers after contract approval or for renewals of current providers.)

Materials Order Form

(Request media materials such as brochures, postcards or business cards with Take Charge information to share with your community and clients.)


Physical Address:
Oklahoma State Department of Health
Chronic Disease Prevention Service
123 Robert S. Kerr Ave.
Oklahoma City, OK

Phone: (405) 426-8290; Toll-Free (888) 669-5934
Fax: (405) 900-7609
Email: CancerPCP@health.ok.gov

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