Skip to main content

Oregon State Flag An official website of the State of Oregon »

Oregon Health Authority logo

Client Enrollment

This page has resources and tools to help clinic staff with the client enrollment process. 

RH Access Fund Enrollment Form

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.​
​English​​​​
​Korean​
​Marshallese
​Russian
​Simplified Chinese
​Spanish​
​Somali
​Vietnamese
​
Enrollment Form G​​uide - instructions on how the Enrollment Form should be completed​.
Remote Enrollment Guidance - guidance on how to enroll a client who is not in the clinic​.

RHAF Enrollment Form and Eligibility Crosswalk - a crosswalk shows a client's possible eligibility for RHAF depending on how they answer different questions.

Enrollment Process

Client Enrollment Process Training (updated September 2026)

Learn more about the enrollment form and process as well as how to use the eligibility database. This training is for RHCare, CCare, and AbortionCare Clinics. Following the training, take the short Test Your Knowledge quiz. This can be accessed via the QR code at the end of the training or by following the link listed on the slide. 

Video | Slides (with clickable links)

RHAF FAQs - frequently asked questions about the RH Access Fund that can be shared with clients. 

Front Desk Flowchart - sample workflow for enrolling clients into RHAF.

Income Limits - to be eligible to enroll in RHAF, clients must have an income of 250% of the Federal Poverty Level or below.

Citizenship/Immigration Status Chart​​ - to help clients answer the citizenship/immigration question on the Enrollment Form. ​​​​​​​
​​Documentation Guidance for Enrollment - a chart that explains when documentation is required and how to record when it was provided.​

Citizenship/Identification Document Chart​ - lists various documents that are accepted as proof of U.S. Citizenship and identity.

Affidavit Statement of Identification - for use when clients do not have identification.

​​Enrollees must be provided a Notice of Eligibility (NOE). See the NOE Guidance, and different versions of the NOE below. ​
​
Hand-fillable English | Spanish

Form-fillable English | Spanish

Half and half English | Spanish 

​​​​Enrollees must be offered the OHA Notice of Privacy Practices (NOPP): English NOPP

To order in different languages email: dhs.privacyhelp@dhsoha.oregon.gov​

​Income Collection Sample Script​ - a sample script to use when asking about clients' income during check-in. 

RHAF Enrollment Sample Script - a sample script to use when asking if a client wants to enroll in RHAF.

Eligibility Database

All client enrollment data, from the Enrollment Form, must be entered and saved in the Eligibility Database for the client to be considered fully enrolled.

To gain access to the Eligibility Database, complete and submit one of the two forms below:


Eligibility Verification

The RH Program verifies the income and the citizenship status of enrollees who mark U.S. Citizen on the Enrollment Form. The resources below help clinic staff understand the verification processes and what they can do to help enrollees.

Eligibility Status Update Guide: describes the monthly status update email. Includes samples, describes what is included, and what action clinic staff should take.


Resources for CCare Clinics

Enrollment Form Cover Page

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 should add local RHCare clinic locations at the bottom of the page.


Tip Sheet

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