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Healthcare Records

Table of Contents  MSRM 140106.01

In the event that the EHR is not operational, a paper format system will be used.  Healthcare record forms for services normally documented in the EHR, will be available at each facility for staff use.

The following forms are available electronically for use.

EHR Forms Only

  • Facesheet
  • Infirmary Daily Shift Assessment - RN
  • Infirmary Shift Note - LPN
  • Medical Lay-In/Restrictions
  • Medical Progress Note - NARRATIVE (Same as progress note 140106B)
  • Medical Progress Note - SOAP (Same as progress note 140106B)
  • Mental Health Evaluation for Lower Security
  • Mental Health Intake Record Review
  • Mental Health Progress Note Narrative (Same as progress note 140106B)
  • Mental Health Progress Note SOAP (Same as progress note 140106B)
  • Mental Health Provider Note
  • Notification of Hospital Admission to Local Hospital
  • Offender Discipline Recommendations
  • Optometric Progress Note - Narrative
  • Providers Infirmary Admission Assessment
  • Providers Infirmary Assessment Note
  • Psychopharmacological Medication Screening and Management
  • Periodic Physical Examination (Non-Chronic Clinic)
  • Segregated Housing Unit (SHU) Medical Record Review
  • Telepsychiatry/Psychiatry Note

Chronic Clinic

Communicable Disease / Tuberculosis


Consents and Refusals


Hepatitis C


Living Will/Advance Directive/DNR

Laboratory, Radiology, and Optometric Services


Mental Health


Offender Death

Outside Referral

Palliative Care

Peer Review


Protected Health Information

Contact DOC

Main Location
3400 North Martin Luther King Avenue
Oklahoma City, OK 73111-4298

PO Box 11400
Oklahoma City, OK  73136-0400

Phone: (405) 425-2500
Fax: (405) 425-2578

Contact ODOC

In compliance with the reporting requirements of 74 O.S. 3106.4[C], this agency is making known that it stores name, birth date, place of birth, mother’s maiden name, biometric records, Social Security number, official state or government issued driver license or identification number, alien registration number, government passport number, and employer or taxpayer identification numbers.   The personally identifiable data is stored both electronically and in confidential paper files.  The data is shared in compliance with court orders and agreements with other government bodies.

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Top Resources

Closed Records

Employment Verification (405) 425-2644

Sex and Violent Offender Registration

Victim Services

Community Outreach

Visitation Policy

Volunteer Opportunities

If you or someone you know is thinking about suicide, call Onelife at 800-559-9544 or the National Suicide Prevention lifeline at 1-800-273-TALK (8255). Click here for more suicide awareness information.