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| Online Forms |
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License Inquiry (public licensee database)
Please scroll down to find links to profession-specific forms.
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| Consumer Forms |
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Consumer Complaint Form
Public Records Request Form
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| For Licensees and Applicants |
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Customer Information Update Form
Renewal, Late Fee, Address or Employment Change, Replacement License
Affidavit of Licensure
Accommodation Request (Americans with Disabilities Act)
Fingerprint Processing Instructions
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| Submit Form(s) to OHLA |
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You may print and return completed forms to:
Oregon Health Licensing Agency
700 Summer Street NE, Suite 320
Salem, OR 97301-1287
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| Profession-Specific Forms |
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Athletic Trainers
Body Art Practitioners (body piercing, electrology, tattooing)
Cosmetology (barbers, estheticians, hair designers/stylists, nail technicians)
Denturists
Dietitians
Environmental Health Specialists
Hearing Aids Specialists
Midwives, Direct Entry
Nursing Home Administrators
Respiratory Therapists / Polysomnographic Technologists
Sex Offender Therapists
Waste Water Specialists
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