Professional Documents
Culture Documents
Signed by physician – you must apply online within 30 days after the
physician signs your form
**Please make sure you can provide this proof before submitting your application.
Payment
$100 non-refundable application fee
$20 non-refundable application fee for applicants with proof of
Medicaid/Medicare/100% Disabled Veteran Status
Requires Visa, Mastercard, or Discover credit or debit card
Online Account
Visit Oklahoma.gov/OMMA and click “Apply: New or Renewal” Button
Please make sure you use an email address that is yours and that you
have access to when you make your account. If a clinic or other entity
is assisting with your application, do NOT have them enter an email
address that is not yours.
Please only have one person submit an application for each account
created. Each applicant needs a separate profile.