Available forms are located below (they open in a new window):
Completed forms:
Email to Shari@chickashanursingcenter.com or fax to 405-224-5732.
Uniform Employment Application for Nurse Aide Staff
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The following are fillable .PDF's
Notification Regarding a Patient in a Long Term Care (LTC) Facility
(Above form may need to be downloaded and opened with Adobe Reader to fill)
Notification Regarding a Patient in a Long Term Care (LTC) Facility
(Above form is not fillable but can be viewed by most browsers)
Next Steps...
Contact us today to learn more about our compassionate resident centered care at Chickasha Nursing Center - 405-224-3593