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Health Care Licensure and Certification
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HCLC Initial Complaint Intake Form
Initial Complaint Intake Form
Instructions for Completing the Intake Form
 
 
Image link to Initial Complaint Intake Form (pdf)
  1. Right-click the link: Initial Complaint Intake Form (pdf) and select Save Target As...
  2. Save the file to your computer
  3. Open the file
  4. Print the file
  5. Complete the form
  6. Mail the form to the Oregon Health Care Licensure & Certification Program
 
 
Page updated: April 10, 2008

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