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Affect payment for services if DHS or OHA is a provider of or paying for health care services under the Oregon Health Plan or Medicaid Program and DHS or OHA require the authorization to get reimbursement. Affect the ability of DHS and OHA to refer and coordinate services with providers. necessary to receive health services. Oral or written notification of the revocation of authorization for drug and alcohol information shall be accepted. Any request for revocation must be provided to your...
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Gather all the necessary identification documents such as your birth certificate, passport, or social security card.
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What is legal last name of?
Legal last name refers to the surname or family name that is officially recognized and recorded on legal documents.
Who is required to file legal last name of?
Individuals who are legally changing their last name or updating their surname due to marriage or divorce are required to file legal last name forms.
How to fill out legal last name of?
To fill out legal last name forms, individuals must provide their current last name, the new last name they wish to use, and any supporting documentation such as a marriage certificate or court order.
What is the purpose of legal last name of?
The purpose of legal last name forms is to officially document a change in surname and update legal records to reflect the new last name.
What information must be reported on legal last name of?
Legal last name forms typically require the individual's current last name, new last name, reason for the name change, and supporting documentation.
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