Jiffy Doctor - Patient Registration Logo
  •  - -
  • prevnext( X )
    Returning Jiffy Patient Product Image
    Returning Jiffy PatientThank you for your loyalty! Full Service recommendation. We upload your information to the State.
    $50.00
      
    New Patient Product Image
    New PatientFull Service recommendation. We upload your information to the State.
    $100.00
      
    Renewal Patient Product Image
    Renewal PatientFor Patients who need a renewal. We upload your information to the State.
    $75.00
      
    DISPENSARY KIOSK-Full Service Product Image
    DISPENSARY KIOSK-Full ServiceYou must be at a dispensary kiosk or patient drive for this special pricing. Dispensary will verify.
    $25.00
      
    VETERAN-Full Service Product Image
    VETERAN-Full ServiceThank you for your dedicated service! Full Service recommendation. We upload your information to the State.
    $50.00
      
    SENIOR-Full Service Product Image
    SENIOR-Full Service 65 or Older. Full Service recommendation. We upload your information to the State.
    $50.00
      
    Pediatric-Doctor One Product Image
    Pediatric-Doctor OneFull Service recommendation. We upload your information to the State.
    $35.00
      
    Pediatric-Doctor Two Product Image
    Pediatric-Doctor TwoFull Service recommendation. We upload your information to the State.
    $35.00
      
    Total
    $0.00

    Payment Methods

    creditcard
    After submitting the form, you will be redirected to Google Pay to complete the payment.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Your OMMA State Fee that we will pay for you to get your Medical Card. Please read and then upload your payment method, front and back, on the next section.

    If you have insurance, your State fee is $22.50 which is Medicare, Medicaid and Sooner Care. If no insurance, your State fee is $104.30.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Jiffy Doctor - Patient Registration

    YOUR TIME YOU CHOOSE IS FOR OUR PROVIDER TO REVIEW YOUR INFORMATION. IT IS NOT YOUR DESIGNATED PHONE CALL TIME. WE WILL CALL YOU THE SAME DAY OF YOUR APPOINTMENT. OUR CUT OFF TIME IS 4:00 P.M. IF YOU REGISTER AFTER 4 P.M., YOU WILL BE CALLED THE FOLLOWING DAY. THANK YOU! 
  • Should be Empty: