Oklahoma Volunteer Charitable Health Provider Program (OVCHPP) 2025-2026

Thank you for your interest in the OVCHPP and for volunteering your time and expertise to charitable/free clinics across the state. Complete all fields on this application form and upload all requested documents.


Required documents are available on the OSDH website.

Download Contract Packet which includes:

•    Charitable Healthcare Provider Contract

•    OSDH Certification of Independent Contractor Status

•    Clinic Acknowledgment to Maintain Patient Records

 
 
 
 
 
 
 
 
 
 
 
 
mm/dd/yyyy
 
 
 
 
 
 
 
 
 
 

1) CHARITABLE HEALTH CARE PROVIDER CONTRACT

2) STATEMENT OF INDEPENDENT CONTRACTOR STATUS

3) CLINIC ACKNOWLEDGEMENT TO MAINTAIN PATIENT RECORDS

4) COPY OF CURRENT LICENSE

Drop your files here