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PUBLIC HEALTH DIVISION Oregon Medical Marijuana ProgramMedical Marijuana Individual History Form Section 1 Business and individual information City:Business name: (As registered with the Secretary
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To fill out the OHA 9251 Individual History form, follow these steps:
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Begin by providing your personal information such as your name, address, date of birth, and contact details.
03
Indicate your gender and marital status.
04
Specify your current occupation and educational background.
05
Provide details about your medical history, including any prior diagnoses, surgeries, or ongoing conditions.
06
Answer questions about your mental health, substance abuse history, and any medications you are currently taking.
07
If applicable, provide information about any disabilities or impairments you may have.
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Describe your living situation and any supports or accommodations you require.
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Provide information about your income and financial resources, including your employment status and any government assistance you receive.
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Finally, review the form for accuracy and completeness before submitting it.
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Note: It is recommended to seek assistance from a healthcare professional if you have trouble filling out the form or need further guidance.

Who needs oha 9251 individual history?

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The OHA 9251 Individual History form is typically required by individuals who are seeking healthcare services or support. It is often used by healthcare providers, social workers, and government agencies to gather information about an individual's medical history, mental health, living situation, and financial resources. This information helps in assessing an individual's needs and determining appropriate healthcare interventions or support services.
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OHA 9251 individual history is a form used to track an individual's background information, including personal history and any relevant details for assessment purposes.
Any individual who is undergoing an assessment or evaluation process that requires a detailed personal history may be required to file OHA 9251 individual history.
To fill out OHA 9251 individual history, provide accurate and detailed information about your personal background, including education, work experience, and any other relevant details.
The purpose of OHA 9251 individual history is to provide a comprehensive overview of an individual's background for assessment and evaluation purposes.
Information such as personal identification details, education background, work experience, and any other relevant information must be reported on OHA 9251 individual history.
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