Link
Additional Information
  
Category
  

​Direct Deposit. Form used to authorize direct deposit to a checking or savings account​

6/18/2015Billing, Form

​Business Forms that could be used by the LTC nurse to support business practices. 

4/15/2013Form

​​Department required form. Prior Authorization (Monitoring Visit, Teaching Non-Family, Teaching Family, Care Coordination and Reassessments). For use by the LTC nurse to document and communicate information to the case manager. These forms are not intended to meet or replace documentation requirements set forth in Oregon nursing law and professional practice standards.  ​

3/29/2013Required form

Department required form for use by the LTC nurse to document and communicate information to the case manager. These forms are not intended to meet or replace documentation requirements set forth in Oregon nursing law and professional practice standards.

3/29/2013Required form

​Department required form for use by the LTC nurse to document and communicate information to the case manager. These forms are not intended to meet or replace documentation requirements set forth in Oregon nursing law and professional practice standards

3/29/2013Required form

​​Direct Deposit Authorization - Instructions Providers, Vendors and Contractors (Replaces DMAP 3077 and CF 134)

3/29/2013Form

​​Department required form for use by the LTC nurse to document and communicate information to the case manager. These forms are not intended to meet or replace documentation requirements set forth in Oregon nursing law and professional practice standards.​

3/15/2013Required form