Utica Women's Specialists
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  • About Us
    • About Dr. Parham
    • Daran L. Parham, M.D. Curriculum Vitae
    • About Dr. Dietz
    • Melissa A. Dietz, M.D. Curriculum Vitae
  • What We Do
  • Patient Forms
  • OB & GYN Frequently Asked Questions
  • Contact

The following forms are available for download and may be required at your next visit.

Patient Information and Forms

New Patient Packet
GYN Update Form - For current patients who have not been seen in our office for a period of 12 months.
Patient Privacy Policy
 
Medical Records Authorization - Records from another provider to UWS
Medical Records Authorization - Records from UWS to another provider

Patient Portal Instructions

Financial Policy

FMLA, Disability Policy / Form

Office Location:

St. John Medical Center
Herman G. Kaiser Medical Building
1725 E. 19th Street, Suite 401
Tulsa, OK 74104


Directions to office
We are located in the Herman G. Kaiser Medical Building on 19th Street just East of Utica Avenue.

Office Numbers:

Main:              918-749-1413
Fax:                918-749-0234

Office Hours:

8:00 am – 4:30 pm Monday–Thursday
8:00 am – 4:00 pm Friday
 

We close for lunch between 12:00 and 1:00 pm daily. We forward our phones to the answering service during lunch and after hours. If you call and reach our answering service, please follow the instructions provided.


Pay Your Provider Online

Click your doctor's name below to pay securely using Xpress-pay:

Dr. Parham

Dr. Dietz

Dr. Wilson

Thank you for your timely payments. 

Please call our Business Office at 918-749-1413 with any billing questions.

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