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This page has resources and tools to help clinic staff with the client enrollment process. Click the jump links below to get to specific sections of the page:
Notice of Privacy Practices, Voter Registration, &
Out of State Birth Certificate Requests
Enrollment Tools Table
To enroll in the RH Access Fund, clients must complete the RH Access Fund Enrollment Form. Use the links below to print the form in any of the available languages, or to have the client complete the form electronically.
Learn about how to enroll clients into the RH Access Fund! This training includes the Enrollment Form and the Eligibility Database.
RHCare Clinics: Video | Slides (with clickable links)
CCare Clinics: Video | Slides (with clickable links)
Slides (with clickable links)
This video, taken from the Client Enrollment Process training, only goes over the RH Access Fund Enrollment Form.
RHCare Clinics: Video | see Slides 17-60
CCare Clinics: Video | see Slides 16-58
AbortionCare Clinics: Video | see
This video, taken from the Client Enrollment Process training, only goes over the citizenship and immigration documentation requirements.
RHCare Clinics: Video | see Slides 52-55
CCare Clinics: Video | see Slides 50-53
It is really important to search for a client in the Eligibility Database BEFORE asking them to complete a new enrollment form. This short video (3 mins) shows you how to do that:
How to Search for a Client
This video, taken from the Client Enrollment Process training, only goes over how to add a client to the RH Access Fund Eligibility Database.
RHCare Clinics: Video | see Slides 61-87
CCare Clinics: Video | see Slides 59-84
Video | see
Income Verification Process Flowchart: illustrates the state's income verification process and what clinic staff should do.
Resources for CCare clinics.
This cover page tells clients what services they can get at a CCare clinic, and where they can get additional services offered at RHCare clinics.
CCare clinics can add local RHCare clinic locations at the bottom of the page.
A quick-look resource for common eligibility and billing questions around insurance coverage, income, and citizenship requirements. Click the link below and post it at the front desk and billing for easy reference!
Eligibility & Billing Tip Sheet
Enrollees must be offered the OHA Notice of Privacy Practices (NOPP).
To access the English version click the first link below. The second link allows you to access the NOPPs in different languages.
OHA Notice of Privacy Practices (English)
To order in different languages
Enrollees must be offered the chance to register to vote. See the policy, procedures, and associated forms below:
National Voter Registration Act (NVRA) Policies and Procedures
NVRA Agency Manual
SEL 503 - Voter Registration Card
SEL 503a - Spanish Voter Registration Card
SEL 504 - Agency Voter Registration Reporting Form (new online form)
SEL 540 - Signature Stamp Attestation Form
The Oregon Reproductive Health Program will order birth certificates from other states to help non-Oregon born RH Access Fund enrollees document U.S. citizenship. The materials and links below explain this process.
Instructions for Requesting Out-of-State Birth Certificates
Information about Becoming a Notary (link to Secretary of State website)
OHA Authorization form: Authorizes client's release of certificate to State of Oregon (Required)
All documents are in PDF format.
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