OAR Chapter 836

Division 053 Exhibits, appendixes, forms, attachments

836-053-0015

Exhibit A: Revised Counting Methodology for Determining Small or Large Group

836-053-0471

Exhibit 1
Exhibit 2
Exhibit 3

836-053-0510

Oregon Standard Health Statement - Form 440-3087 Word | PDF Español

836-053-0615

Confidential Communication Requests Reporting Form

836-053-0863

State Continuation Notice Word | PDF

836-053-1205

Uniform Prior Authorization Prescription Request - Form 440-4992 Word | PDF

836-053-1510(2)

Primary Care Reporting Template

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Key links

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