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OPTIONS COUNSELING SERVICES OF OREGON, INC. 1255 Pearl Street, Suite 102 Eugene, OR 97401 TELEPHONE: (541) 687-6983 FAX: (541) 762-1571 APPLICANT INFORMATION Name: Date: Address: Date Available: SSN:
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Options counseling services provide information and support to individuals in making informed decisions about their healthcare options.
Healthcare providers and organizations that offer options counseling services are required to file this document.
Options counseling services of can be filled out by documenting the information discussed during the counseling session, including the individual's preferences and choices.
The purpose of options counseling services is to help individuals understand their healthcare options and make decisions that align with their values and preferences.
Information such as the individual's healthcare options, preferences, decisions made, support needed, and any follow-up actions must be reported on options counseling services.
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