Form preview

Get the free OMMP New Client Enrollment Checklist - Revised 8/13/15 template

Get Form
MMP New Client Enrollment Checklist Revised 8/13/15Client: Billy Payee Eligibility Assessment Complete the MMP Client Eligibility Assessment Checklist RPM Write a client summary paragraph Progress
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign ommp new client enrollment

Edit
Edit your ommp new client enrollment form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your ommp new client enrollment form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit ommp new client enrollment online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit ommp new client enrollment. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out ommp new client enrollment

Illustration

How to fill out ommp new client enrollment

01
Obtain the OMMP New Client Enrollment form from the Oregon Medical Marijuana Program (OMMP) website or request a physical copy from the OMMP office.
02
Fill out personal information section, including name, address, phone number, and email.
03
Provide a copy of a valid identification document, such as a driver's license or passport, to verify your identity.
04
If you have a designated primary caregiver, include their information in the designated caregiver section.
05
Complete the medical marijuana diagnosis and recommendation section, including the date of diagnosis and the recommending healthcare practitioner's information.
06
Sign and date the form in the appropriate signature section.
07
Submit the completed OMMP New Client Enrollment form along with any required fees or documentation to the OMMP office either in person or by mail.
08
Wait for the OMMP to review and process your application. You will receive a notification once your enrollment is approved.

Who needs ommp new client enrollment?

01
Individuals who are seeking to become medical marijuana patients in the state of Oregon need to fill out the OMMP New Client Enrollment. This includes individuals who have a qualifying medical condition and have obtained a recommendation for medical marijuana from a healthcare practitioner authorized to issue such recommendations. The enrollment process is necessary to be able to legally obtain and use medical marijuana in accordance with Oregon state laws.

What is OMMP New Client Enrollment Checklist - Revised 8/13/15 Form?

The OMMP New Client Enrollment Checklist - Revised 8/13/15 is a writable document needed to be submitted to the relevant address in order to provide specific information. It needs to be filled-out and signed, which can be done in hard copy, or using a certain software like PDFfiller. This tool lets you complete any PDF or Word document directly in your browser, customize it depending on your needs and put a legally-binding electronic signature. Right after completion, user can send the OMMP New Client Enrollment Checklist - Revised 8/13/15 to the appropriate receiver, or multiple individuals via email or fax. The editable template is printable as well because of PDFfiller feature and options offered for printing out adjustment. In both digital and physical appearance, your form should have a clean and professional outlook. You can also save it as the template for further use, there's no need to create a new document from scratch. You need just to edit the ready document.

Instructions for the OMMP New Client Enrollment Checklist - Revised 8/13/15 form

Once you're about to fill out OMMP New Client Enrollment Checklist - Revised 8/13/15 form, remember to have prepared enough of information required. It is a important part, since errors can cause unwanted consequences starting with re-submission of the entire word template and completing with missing deadlines and even penalties. You need to be really observative when working with digits. At first glimpse, it might seem to be very simple. Nevertheless, it's easy to make a mistake. Some people use some sort of a lifehack saving everything in another document or a record book and then put this information into documents' samples. Nevertheless, try to make all efforts and provide actual and solid info in OMMP New Client Enrollment Checklist - Revised 8/13/15 word template, and doublecheck it during the process of filling out all fields. If you find any mistakes later, you can easily make some more corrections when you use PDFfiller tool without missing deadlines.

Frequently asked questions about OMMP New Client Enrollment Checklist - Revised 8/13/15 template

1. Is it legit to file forms electronically?

According to ESIGN Act 2000, forms written out and authorized using an electronic signature are considered legally binding, equally to their physical analogs. This means that you're free to rightfully fill and submit OMMP New Client Enrollment Checklist - Revised 8/13/15 word form to the institution needed using digital signature solution that suits all the requirements of the mentioned law, like PDFfiller.

2. Is it secure to fill in personal documents on the web?

Of course, it is absolutely safe as long as you use trusted solution for your work-flow for such purposes. For example, PDFfiller offers the following benefits:

  • Your data is stored in the cloud that is facilitated with multi-layer file encryption. Every single document is secured from rewriting or copying its content this way. It is the user only who has got access to personal files.
  • Each and every writable document signed has its own unique ID, so it can’t be faked.
  • You can set additional security settings like user validation via photo or password. There's also an option to protect the whole directory with encryption. Just put your OMMP New Client Enrollment Checklist - Revised 8/13/15 word form and set a password.

3. Can I upload my data to the fillable form from another file?

To export data from one file to another, you need a specific feature. In PDFfiller, you can find it by the name Fill in Bulk. With this one, you can export data from the Excel spread sheet and put it into the generated document.

Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
52 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

You can quickly improve your document management and form preparation by integrating pdfFiller with Google Docs so that you can create, edit and sign documents directly from your Google Drive. The add-on enables you to transform your ommp new client enrollment into a dynamic fillable form that you can manage and eSign from any internet-connected device.
With pdfFiller, it's easy to make changes. Open your ommp new client enrollment in the editor, which is very easy to use and understand. When you go there, you'll be able to black out and change text, write and erase, add images, draw lines, arrows, and more. You can also add sticky notes and text boxes.
Use pdfFiller's Gmail add-on to upload, type, or draw a signature. Your ommp new client enrollment and other papers may be signed using pdfFiller. Register for a free account to preserve signed papers and signatures.
OMMP new client enrollment is the process of registering a new client with the Oregon Medical Marijuana Program.
Patients who are seeking to become a registered medical marijuana patient in Oregon are required to file OMMP new client enrollment.
OMMP new client enrollment can be filled out online through the Oregon Medical Marijuana Program website or by submitting a paper application.
The purpose of OMMP new client enrollment is to register patients with the Oregon Medical Marijuana Program and provide them with legal access to medical marijuana.
Information such as the patient's personal details, qualifying medical condition, and a physician's certification must be reported on OMMP new client enrollment.
Fill out your ommp new client enrollment online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.