Get the free OHP HI referral form (002)

Holistic InterventionsSocial Prescription Link Worker serviceSection A: Patient informational Name:Date of birth:Address:Postcode:Phone No:Gender:Disability:Ethnicity: Asian Bangladeshi Black African

How to fill out ohp hi referral form

How to fill out ohp hi referral form

1. To fill out the OHP HI referral form, follow these steps:
2. Obtain a copy of the OHP HI referral form. You can usually find this form on the official website of your local health department or by contacting the OHP HI program directly.
3. Gather all necessary information. You will need the patient's personal details, including their full name, date of birth, address, and contact information. You may also need their OHP ID number if applicable.
4. Provide details about the referral. Specify the reason for the referral and any specific instructions or requirements. Include any relevant medical history or conditions that may be important for the referral process.
5. Fill out the referring provider information. This includes the referring provider's name, clinic or organization name, address, and contact information.
6. Sign and date the form. Make sure to review all the information you provided before signing and dating the form.
7. Submit the form. Follow the submission instructions provided by the OHP HI program. This may involve mailing or faxing the completed form to a designated office.
8. Note: It is recommended to keep a copy of the filled-out referral form for your records.

Who needs ohp hi referral form?

1. The OHP HI referral form is typically needed by healthcare providers or medical professionals who want to refer a patient for specialized services covered under the OHP HI program. This program is designed to provide comprehensive medical coverage for eligible Oregon Health Plan (OHP) members with complex healthcare needs.

For pdfFiller’s FAQs

How can I manage my ohp hi referral form directly from Gmail?

In your inbox, you may use pdfFiller's add-on for Gmail to generate, modify, fill out, and eSign your ohp hi referral form and any other papers you receive, all without leaving the program. Install pdfFiller for Gmail from the Google Workspace Marketplace by visiting this link. Take away the need for time-consuming procedures and handle your papers and eSignatures with ease.

How do I fill out the ohp hi referral form form on my smartphone?

Use the pdfFiller mobile app to fill out and sign ohp hi referral form. 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 complete ohp hi referral form on an Android device?

Complete your ohp hi referral form and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.

What is ohp hi referral form?

The OHP HI referral form is a form used to refer a patient to the Oregon Health Plan (OHP) for healthcare services.

Who is required to file ohp hi referral form?

Healthcare providers and medical professionals are required to file the OHP HI referral form when referring a patient to the Oregon Health Plan.

How to fill out ohp hi referral form?

The OHP HI referral form can be filled out by providing the patient's information, the reason for the referral, and any other relevant medical details.

What is the purpose of ohp hi referral form?

The purpose of the OHP HI referral form is to facilitate the referral of patients to the Oregon Health Plan for healthcare services.

What information must be reported on ohp hi referral form?

The OHP HI referral form must include the patient's name, contact information, reason for referral, medical history, and any other relevant details.