5197
This document is for becoming a member of a specific section in Oregon. It provides information on how to join and the benefits of section membership.
This form is used for applying for a seat in the Oregon Ube (Uniform Bar Exam) by a member of the Oregon State Bar.
This form is used for requesting an administrative hearing in the state of Oregon. It can be used to appeal a decision made by a government agency or dispute a penalty or fine.
This form is used for submitting a coversheet for electronic documents in Oregon.
This form is used for designating an authorized representative and alternate payee in the state of Oregon.
This Form is used for individuals in Oregon to request an adjustment to their taxes or other financial matters. It allows individuals to make changes or corrections to information previously reported to the Oregon Department of Revenue.
This form is used for filing a complaint with the Oregon Health Plan. The form allows individuals to report any issues or concerns they may have with their health plan.
This type of document is a Complaint Form for the Oregon Health Plan in Oregon. It is used to file complaints regarding the healthcare plan in Spanish.
This form is used for documenting transplant or transplant evaluation requests in the state of Oregon.
This form is used for summarizing the selection report for augmentative communication devices in Oregon.
This form is used for clients in Oregon to agree to pay for pharmacy services provided by OHP (Oregon Health Plan).
This form is used for filing complaints against providers and partners of the Oregon Health Plan.
This form is used for an Ohp client in Oregon to agree to pay for health services.
This form is used for notifying individuals of their approval for temporary coverage under the Oregon Health Plan. It is specifically tailored for residents of Oregon who speak Somali.
This document is used to notify individuals in Oregon, who speak Chinese, about their approval for temporary coverage under the Oregon Health Plan.
This form is used for informing individuals about the denial of their temporary Oregon Health Plan coverage in Oregon.
This document is an approval notice for temporary Oregon Health Plan coverage in Oregon. It is available in Russian.
This form is used for declaring the intent and agreement to serve as a hospital presumptive eligibility site in Oregon.
This type of document is a Denial Notice for temporary Oregon Health Plan (OHP) coverage in Chinese Simplified language. It is used to inform individuals that their application for OHP coverage has been denied in Oregon.
This form is used to provide a denial notice for temporary Oregon Health Plan coverage in the Somali language.
This document is used for notifying the Oregon Department of Human Services/Oregon Health Authority about nursing facility residents who have chosen hospice care.
This Form is used for notifying individuals of the denial of temporary coverage under the Oregon Health Plan in Oregon. The form is available in Russian.
This form is used to provide a denial notice for temporary Oregon Health Plan coverage in Oregon for Chinese speakers.
This form is used for Medicare/Medicaid billing invoices for medical practitioner claims in Oregon. It is used to submit claims for payment to the appropriate government healthcare programs.
This form is used for requesting the termination of Medicare Advantage and Medicare Special Needs Plan enrollment in Oregon.
This form is used for enrolling in a Medicare Advantage Plan in Oregon.
This Form is used for requesting presumed eligibility for temporary medical assistance from hospitals in Oregon. (Spanish)
This document is a Medicare Advantage Plan Election form specifically for residents of Oregon who speak Russian. It allows individuals to enroll in a Medicare Advantage Plan in Oregon.
This Form is used for applying for temporary medical assistance at a hospital in Oregon. It is available in Chinese Simplified.
This document is used for applying for temporary medical assistance in Oregon for individuals who are in need of hospital services. It is available in Somali language.
This form is used for authorizing administrative examination or report requests for medical records in Oregon.
This form is used for conducting a comprehensive psychiatric or psychological evaluation in the state of Oregon. It helps gather information about a person's mental health history, symptoms, and potential treatments.
This form is used for Chinese-speaking residents in Oregon to apply for temporary medical assistance at hospitals.
This form is used for selecting a Medicare Advantage plan in Oregon. It is available in Vietnamese language.