Forms: Oregon Health Plan (OHP) and DHS Division of Medical Assistance Programs (DMAP)
OHP forms (PDF)
OHP 3001OHP Complaint Form; also in Spanish
OHP 3259
Oregon Health Plan - Can I be on the OHP and have private health insurance; also in Spanish
OHP 3261 Inpatient Hospital Hold Request
OHP 3360 Pregnancy Notification
OHP 7207
Continuity of Care Referral
OHP 7208M Medicare Advantage Plan Election; also in Spanish
OHP 7209 Request to Terminate Insurance (Rev. 5/05)OHP 7210 OHP Application (Sample Only)
OHP 7210 PKT OHP Application Packet
OHP 7210W
OHP Application - Submit Online
OHP 9025
Information about the Oregon Health Plan
OHP 9035 Oregon Health Plan - Client Handbook; also in Spanish
DMAP forms
1000 Series1200 Series
1400 Series 2400 Series
3000 Series 3100 Series
3200 Series
3900 Series
6000 Series
9000 Series
Miscellaneous Forms
• Formularios de DMAP y OHP en español
• DMAP and OHP forms in Spanish and other languages
• Other DHS forms
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