OAR Chapter 836

Division 053 Exhibits, appendixes, forms, attachments

836-053-0471

Exhibit 1
Exhibit 2
Exhibit 3

836-053-0510

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

836-053-0863

State Continuation Notice Word | PDF​​​

836-053-1205

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

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