New Patient Forms

Please click the links to download new patient forms. These forms can be printed and brought to the office in order to save time on your initial visit. Thank you!

Application for Treatment.pdf
Adobe Acrobat document [93.3 KB]
HIPAA Privacy Practices.pdf
Adobe Acrobat document [115.5 KB]
Informed Consent.pdf
Adobe Acrobat document [129.6 KB]

Make an Appointment

For immediate service in scheduling an appointment, please call: 918.251.8889.

To request further information, please fill out the form below.

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Contact Us

Alive With Energy Clinic
900 West Kenosha St.
Broken Arrow , Oklahoma 74012
Phone: 918 251-8889 918 251-8889
Fax: 918 258-9800
E-mail Address:

Office Hours - Appointment Only

Monday09:00 AM - 06:00 PM
Tuesday09:00 AM - 06:00 PM
Wednesday02:00 PM - 06:00 PM
Thursday09:00 AM - 06:00 PM
Friday10:00 AM - 06:00 PM

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