Skip to main content
mychart
Video Visits
Request an Appointment
For Providers
Patient Forms
Employer Health Solutions
Careers
Start a Video Visit Now
918-579-DOCS
Search
Start a Video Visit Now
Toggle navigation
Utica Park Clinic
Find a Doctor
Virtual Care
Services
For Our Patients
Advance Care Planning
Billing
Diabetes Education
Extended Hours Clinics
Good Faith Estimate
Lab Definitions
Leadership
Insurance
Make the Most of Your Visit
Medical Records Request
Medicare Resources
MyChart
Patient Forms
Pay Your Bill Online
Pediatric Milestones & Exam Schedule
Pediatric Vaccination Schedule
Preventive Care Screening
Surprise Billing Protection
Remote Patient Monitoring
Resources
Student Resources
Locations
Blog
Contact
Claremore
Utica Park Clinic - Claremore - Surgery
Location
Utica Park Clinic - Claremore
1220 N. Florence Ave.
Suite A
Claremore
,
OK
74017
Phone:
918-341-5311
,
See map:
Google Maps
Read More
Utica Park Clinic - Claremore - Sports Medicine
Location
Utica Park Clinic - Claremore
1501 N. Florence Ave. suite 350
Claremore
,
OK
74017
Phone:
918-343-8574
,
See map:
Google Maps
Read More
Utica Park Clinic - Claremore - Pediatrics
Location
Utica Park Clinic - Claremore
1501 N. Florence Ave.
Suite 101
Claremore
,
OK
74017
Phone:
918-342-3633
,
See map:
Google Maps
Read More
Utica Park Clinic - Claremore - OB-GYN
Location
Utica Park Clinic - Claremore
201 W. Blue Starr Dr.
Claremore
,
OK
74017
Phone:
918-341-5200
,
See map:
Google Maps
Read More
Christen Greuel, D.O.
Location
Utica Park Clinic - Claremore
1501 N. Florence Ave., suite 101
Claremore
,
OK
74017
Phone:
918-342-3633
,
See map:
Google Maps
View Profile
×
Request An Appointment
Contact Utica Park Clinic
You must have JavaScript enabled to use this form.
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Telehealth
Urology
Wound Care
Preferred Clinic Location
- None -
Bartlesville
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Chouteau
Claremore
Cushing
Glenpool
Henryetta
Jenks
Locust Grove
Muskogee
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
Alexandra Kloeck, D.P.M.
Locations
Utica Park Clinic - Claremore
1501 N. Florence Ave., suite 350
Claremore
,
OK
74017
Phone:
918-343-8574
,
See map:
Google Maps
Utica Park Clinic - Pryor
1301 NE 1st St., suite 500
Pryor
,
OK
74361
Phone:
918-343-8574
,
See map:
Google Maps
Utica Park Clinic - Owasso
10512 N. 110th E. Ave., suite 210
Owasso
,
OK
74055
Phone:
918-343-8574
,
See map:
Google Maps
View Profile
×
Request An Appointment
Contact Utica Park Clinic
You must have JavaScript enabled to use this form.
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Telehealth
Urology
Wound Care
Preferred Clinic Location
- None -
Bartlesville
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Chouteau
Claremore
Cushing
Glenpool
Henryetta
Jenks
Locust Grove
Muskogee
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
Valerie Mitchell, APRN-CNP
Locations
Utica Park Clinic
1220 N. Florence Ave., suite B
Claremore
,
OK
74017
Phone:
918-582-6544
,
See map:
Google Maps
Utica Park Clinic - Gastroenterology
1145 S. Utica Ave., suite 701
Tulsa
,
OK
74104
Phone:
918-582-6544
,
See map:
Google Maps
,
See map:
Google Maps
View Profile
×
Request An Appointment
Contact Utica Park Clinic
You must have JavaScript enabled to use this form.
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Telehealth
Urology
Wound Care
Preferred Clinic Location
- None -
Bartlesville
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Chouteau
Claremore
Cushing
Glenpool
Henryetta
Jenks
Locust Grove
Muskogee
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
Brian Ogg, D.O.
Location
Utica Park Clinic
1501 N. Florence Ave., Suite 350
Claremore
,
OK
74017
Phone:
918-343-8574
,
See map:
Google Maps
View Profile
×
Request An Appointment
Contact Utica Park Clinic
You must have JavaScript enabled to use this form.
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Telehealth
Urology
Wound Care
Preferred Clinic Location
- None -
Bartlesville
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Chouteau
Claremore
Cushing
Glenpool
Henryetta
Jenks
Locust Grove
Muskogee
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
Richard Jesudass, M.D.
Locations
Utica Park Clinic - Gastroenterology
1145 S. Utica Ave., suite 701
Tulsa
,
OK
74104
Phone:
918-582-6544
,
See map:
Google Maps
Utica Park Clinic
1220 N. Florence Ave., suite B
Claremore
,
OK
74017
Phone:
918-582-6544
,
See map:
Google Maps
View Profile
×
Request An Appointment
Contact Utica Park Clinic
You must have JavaScript enabled to use this form.
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Telehealth
Urology
Wound Care
Preferred Clinic Location
- None -
Bartlesville
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Chouteau
Claremore
Cushing
Glenpool
Henryetta
Jenks
Locust Grove
Muskogee
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
Kyle Hrdlicka, D.O.
Location
Utica Park Clinic
1220 N. Florence Ave., suite A
Claremore
,
OK
74017
Phone:
918-341-5311
,
See map:
Google Maps
View Profile
×
Request An Appointment
Contact Utica Park Clinic
You must have JavaScript enabled to use this form.
Would you like to request an appointment with a health care provider?
*
Yes
No
First Name
*
Last Name
*
Address
*
Address 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Phone Number
*
Email Address
*
Date of Birth
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Year
Your Gender
*
- Select -
Male
Female
Insurance Provider
*
- Select -
Blue Cross Blue Shield
GlobalHealth
Humana
United HealthCare
Other
Have you been seen by a Utica Park Clinic provider in the last two years?
*
- Select -
Yes
No
Service Requested
*
- Select -
Bariatric Surgery
Breast Care/Surgery
Colorectal Surgery
Dermatology
Ear, Nose & Throat
Endocrinology
Family Medicine
Gastroenterology
Hematology
Internal Medicine
Liver, Pancreas & Biliary Disease
Medical Oncology
Neurology
Obstetrics/Gynecology
Orthopedic Surgery
Pain Management
Palliative Care
Pediatrics
Physical Rehabilitation
Plastic Surgery
Pulmonology/Critical Care
Social Services
Sports Medicine
Surgical Oncology
Surgery
Telehealth
Urology
Wound Care
Preferred Clinic Location
- None -
Bartlesville
Bixby
Bristow
Broken Arrow North
Broken Arrow South
Catoosa
Chouteau
Claremore
Cushing
Glenpool
Henryetta
Jenks
Locust Grove
Muskogee
Okemah
Okmulgee
Owasso
Pryor
Sand Springs
Sapulpa
Tulsa - 12th & Utica Area
Tulsa - 21st & Harvard
Tulsa - 31st & Garnett
Tulsa - 44th & Harvard
Tulsa - 71st & Hwy 75
Tulsa - 81st & Memorial
Tulsa - 91st & Hwy 169
Tulsa - 9245 S. Mingo
Tulsa - 101st & Sheridan
Tulsa - Pine & Lewis
Appointment Date Requested
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2024
2025
2026
Year
Message|Additional Comments
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Submit
first
previous
1
2
3
next
last
