Get the free OHA 8052. ADES Referral Form - apps state or
Show details
HEALTH SYSTEMS DIVISION
Behavioral Health ProgramsAlcohol and Other Drug Screening Specialist (ADDS)
Screening and OutofState Referral Report
Outofstate residents who receive a charge of driving under
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign oha 8052 ades referral
Edit your oha 8052 ades referral form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your oha 8052 ades referral form via URL. You can also download, print, or export forms to your preferred cloud storage service.
How to edit oha 8052 ades referral online
To use our professional PDF editor, follow these steps:
1
Log in to account. Start Free Trial and sign up a profile if you don't have one yet.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit oha 8052 ades referral. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
With pdfFiller, it's always easy to work with documents. Try it!
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.
How to fill out oha 8052 ades referral
How to fill out oha 8052 ades referral
01
To fill out the OHA 8052 ADES referral, follow these steps:
02
Start by gathering all the necessary information and documents required for the referral.
03
Begin by entering the patient's personal information, including their name, address, contact details, and date of birth.
04
Fill in the referring agency details, such as the name of the agency, contact person, and their contact information.
05
Provide a detailed description of the patient’s condition or situation that requires the referral.
06
Specify the reason for the referral, including the type of service or assistance needed.
07
Include any relevant medical or supporting documentation that supports the need for the referral.
08
Add any additional information or special instructions that may be necessary for the recipient of the referral.
09
Ensure that all the information provided is accurate and complete.
10
Review the referral form for any errors or missing information before submitting it.
11
Once all the required information is filled out, sign and date the referral form.
12
Submit the completed referral form to the appropriate recipient or agency as instructed.
Who needs oha 8052 ades referral?
01
The OHA 8052 ADES referral is needed by individuals who require certain services or assistance that are provided by the Oregon Health Authority (OHA) or the state's Aging and Disability Services (ADES).
02
This referral may be necessary for individuals who need access to healthcare resources, social services, disability support, long-term care, or other programs administered by OHA and ADES.
03
Eligibility for specific services or programs may vary, and individuals should consult the OHA or ADES guidelines to determine if they need to complete this referral.
Fill
form
: Try Risk Free
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.
How do I execute oha 8052 ades referral online?
Completing and signing oha 8052 ades referral online is easy with pdfFiller. It enables you to edit original PDF content, highlight, blackout, erase and type text anywhere on a page, legally eSign your form, and much more. Create your free account and manage professional documents on the web.
How do I fill out oha 8052 ades referral using my mobile device?
Use the pdfFiller mobile app to fill out and sign oha 8052 ades referral. Visit our website (https://edit-pdf-ios-android.pdffiller.com/) to learn more about our mobile applications, their features, and how to get started.
How do I edit oha 8052 ades referral on an Android device?
The pdfFiller app for Android allows you to edit PDF files like oha 8052 ades referral. Mobile document editing, signing, and sending. Install the app to ease document management anywhere.
What is oha 8052 ades referral?
OHA 8052 ADES referral is a specific form used to refer cases to the Office of Health Assessment and Development for evaluation in relation to certain health programs.
Who is required to file oha 8052 ades referral?
Individuals or organizations involved in health program assessments and evaluations are typically required to file the OHA 8052 ADES referral.
How to fill out oha 8052 ades referral?
To fill out the OHA 8052 ADES referral, one should provide accurate details regarding the individual or case being referred, including personal information, the reason for referral, and any relevant health history.
What is the purpose of oha 8052 ades referral?
The purpose of the OHA 8052 ADES referral is to assess health-related cases and provide necessary evaluations for appropriate health program interventions.
What information must be reported on oha 8052 ades referral?
The referral must report personal identification information, reason for the referral, medical history, and any pertinent details concerning the health status of the individual.
Fill out your oha 8052 ades referral 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.
Oha 8052 Ades Referral is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
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.
