Health Authority

State of Oregon

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

Forms & Documents

Browse all Health Authority government forms

41 - 60 of 156 forms

Form Title Topics
Denial Notice for Hospital Presumptive Eligibility - Vietnamese
DHS/OHA Administrative Hearing Request Form
DHS/OHA Administrative Hearing Request Form
DHS/OHA Administrative Hearing Request Form (Russian
DHS/OHA Administrative Hearing Request Form (Vietnamese
DHS|OHA Prior Authorization Request
Direct Deposit Authorization Form
EDMS Cover Sheet
Eye Exam Report
Fee-for-Service Provider Contacts List - Includes common telephone numbers, email addresses, websites, fax numbers, and mailing addresses
HIPAA Rights and Responsibilities
HIPAA Rights and Responsibilities
HIPAA Rights and Responsibilities
HIPAA Rights and Responsibilities
HIPAA Rights and Responsibilities
HIPAA Rights and Responsibilities
Hospice in a Nursing Facility Notification Form
How to read the Provider Web Portal eligibility verification screen
How to use the Provider Web Portal Benefits and Prioritized List Inquiry screen
Hysterectomy Consent

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