Health Authority

Official Website: https://www.oregon.gov/oha/

Forms & Documents

Browse all Health Authority government forms

21 - 40 of 156 forms

Form Title Topics
Approval Notice for Hospital Presumptive Eligibility - English
Approval Notice for Hospital Presumptive Eligibility - Russian
Approval Notice for Hospital Presumptive Eligibility - Simplified Chinese
Approval Notice for Hospital Presumptive Eligibility - Spanish
Approval Notice for Hospital Presumptive Eligibility - Traditional Chinese
Approval Notice for Hospital Presumptive Eligibility - Vietnamese
Augmentative Communication Device Selection Summary Report
Can I be on the Oregon Health Plan and have private health insurance
Consent to Sterilization (ages 21 and up
Consent to Sterilization - Spanish (ages 21 and up
Continuity of Care Referral
Declaration for Mental Health Treatment (English
Declaration for Mental Health Treatment (Spanish
Declaration of Intent and Agreement to Serve as a Hospital Presumptive Eligibility Site - For enrolled Oregon Medicaid hospitals
Denial Notice for Hospital Presumptive Eligibility - English
Denial Notice for Hospital Presumptive Eligibility - Russian
Denial Notice for Hospital Presumptive Eligibility - Simplified Chinese
Denial Notice for Hospital Presumptive Eligibility - Somali
Denial Notice for Hospital Presumptive Eligibility - Spanish
Denial Notice for Hospital Presumptive Eligibility - Traditional Chinese

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