An official website of the State of Oregon Learn How you know » (how to identify a Oregon.gov website) An official website of the State of Oregon »
You are here:
Please view this webpage in Firefox for the best results. Also, you can access the documents by right clicking and saving the PDF to your hard drive.
Overview of Sample Eligibility Form Updates
Authorization to Use and Disclose Health Information
A .gov website belongs to an official government organization in the United States.
A lock icon ( ) or https:// means you’ve safely connected to the .gov website.
Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how
×