In an effort to advance the ability for systems to exchange health information and create more complete patient health records, the Oklahoma Legislature passed SB 32X in 2023. This bill enabled funding for a one-time connection fee for providers to connect to the Health Information Exchange through the State Designated Entity (SDE).

This form is to provide notice to the Office of the State Coordinator for HIE that the below health care provider requests to receive fee assistance to complete their connection to the statewide HIE.

Please note that this assistance only covers the connection fees. The monthly subscription fees will be paid by the organization/provider.