Motor Vehicle Accident Care

Have you recently been involved in a motor vehicle accident?

Ortho Plus treats a variety of injuries resulting from motor vehicle accidents. Ortho Plus has teamed up with Syndeocare, #SyndeoCare #MoveDocs to provide quality and focused patient-centered treatment for MVA clients with no out-of-pocket expense.

Our goal is to treat your injuries while being fiscally responsible. Your medical care is our priority. Ortho Plus has developed a team approach to MVA treatment with multiple specialists and facility options available to our patients.

Don't delay your treatment by waiting for an appointment. Our team can start your road to recovery today.

Motor Vehicle Accident Care - OrthoPlus Clinic

No-Fault Patients

1
Do you have a police report that shows NO-FAULT?
2
Do you have an open auto claim?
3
Are you attorney represented?

Printable MVA Packet

Fill-out, and bring the Printable MVA Packet in person or fax it to (405) 216-3743.

Or submit online form below

Online Submitable MVA Packet

"*" indicates required fields

New Patient Referral Information

Please complete ALL fields. Use “N/A” if not applicable. Incomplete information could result in denial of treatment.

General Information

Patient's Name*

First Last

Date of Birth*

Gender*

Male

Female

Address*

Street Address City State ZIP Code

Cell Phone*

Home Phone (optional)

Email*

Enter Email Confirm Email

Emergency Contact Information

Emergency Contact's Name*

Relationship To Patient*

Emergency Contact's Cell Phone*

Home Phone (optional)

Emergency Contact's Email (optional)

Insurance Information

Are you at fault?*

Yes

For "At Fault" patients involved in a MVA, we have great cash pay programs and take most commercial insurances. Call us today and speak with a representative to find out what steps to take next.

Patient’s Car Insurance Carrier*

Claim Number*

Policy Number*

Adjuster's Name - if known

Adjuster's Phone Number - if known

Car Insurance Carrier for Other Party*

Claim Number*

Policy Number - if known

Adjuster's Name - if known

Adjuster's Phone Number - if known

Accident Information

Date of Accident*

Were You Seen In The Emergency Room?*

Yes

Date Of First Treatment Regarding The MVA

Do You Have An Attorney?*

It is not necessary to have an attorney to get treatment

Yes

Attorney's Name*

Attorney's Phone Number - if known

Comments

This field is for validation purposes and should be left unchanged.

Ortho Plus provides the following to our MVA patients

immediate access at convenient locations for non-emergent injuries
thorough medical evaluation
timely imaging and result reporting
accurate diagnosis and treatment plan
participating network of providers and facilities for additional medical needs
rapid referral process
minimal gaps in care
direct access to medical records
controlled fee schedule

Here are just a few of the resources that are readily available to our Ortho Plus patients

Orthopedic Surgery
Hand
Spine
ENT
Plastics
Pain Management
Physical Therapy

From the time I walked in the door, I had a great experience. I didn't have to do anything and I didn't have to worry about anything. They walked me through the entire process. I had several different injuries and they helped me with all of them. I would recommend this to anyone!

Cheri Burns

Cheri Burns was in a head-on collision and went to the ER where they misdiagnosed one injury and missed the other injuries. After returning home and still in pain, someone recommended that she go to Ortho Plus.

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If you still have a question, need more information about our services, or your visit, please send us your request and an Ortho Plus team member will contact you soon.

If you need immediate help, give us a call.