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Oregon Health Authority

HLO Forms

 

You can request these forms in other languages, large print, braille or a format you prefer free of charge. Contact Carrie Edwards at carrie.edwards@oha.oregon.gov, or by calling (503) 509-5622; or Derek Fultz at derek.j.fultz@oha.oregon.gov, or by calling (503) 373-1915. All relay calls are accepted.