Online Application for DDS Services: download in English or Spanish.
Note: The online application requires the most recent version of Adobe to open. To open the online application in Chrome or FireFox and for instructions on how to download the most recent version of Adobe, please visit this page.
Contact Liberty if you need assistance at 405-500-1866.
To submit an application virtually, please email the completed PDF to DDSintake@libertyhealth.com
If you would prefer to mail in your completed application, please send it to:
Liberty of Oklahoma
P.O. Box 2335
Edmond, OK 73083
