Warning: main(http://www.okhima.org/mainfile.php) [function.main]: failed to open stream: HTTP request failed! HTTP/1.1 404 Not Found in /home/okhima/public_html/forms/orderlegalmanual.php on line 6

Warning: main(http://www.okhima.org/mainfile.php) [function.main]: failed to open stream: HTTP request failed! HTTP/1.1 404 Not Found in /home/okhima/public_html/forms/orderlegalmanual.php on line 6

Warning: main() [function.include]: Failed opening 'http://www.okhima.org/mainfile.php' for inclusion (include_path='.:/usr/lib/php:/usr/local/lib/php') in /home/okhima/public_html/forms/orderlegalmanual.php on line 6
OkHIMA - Order Legal Manual


Publications Order Form

We do not currently support online order submission. You may, however, complete this form online, print it out, and send it to the address indicated on the form, along with payment, to receive your order.


Simply complete the form online, then hit the PRINT button on your browser.

Name  
Address  
Address 2  
City  
State  
Zip code  
Phone Number  
Oklahoma Medical Records and the Law

Price

Quantity

Order Price

OkHIMA Member - Member #

$100.00

Non-Member

$150.00

  Sales Tax    
 
Total    
If this form does NOT calculate a sales tax rate for you, please add sales tax in the amount of 7.88% to your order.
Print this form out and mail it, along with a check for the total amount to:

Paula McIntosh, RHIA
Woodward Hospital and Health Center
900 17th Street
Woodward, OK 73801

Once the form is completed, if this print button doesn't work for you, hit the "PRINT" button on your browser!

   


Make check payable to OkHIMA (EIN# 73-1095031). Pre-payment only. Purchase orders and invoices are  NOT accepted.