Get the free OHA 9270 Screenwise Enrollment Form SIMPLIFIED CHINESE. OHA 9270 Enrollment Form
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Screen Wise PUBLIC HEALTH DIVISION Screen Wise Program Medicaid
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How to fill out oha 9270 screenwise enrollment
How to fill out oha 9270 screenwise enrollment
01
Start by visiting the OHA 9270 ScreenWise Enrollment website.
02
Click on the 'Enroll Now' button.
03
Provide your personal information, including your name, address, date of birth, and contact information.
04
Answer the screening questions regarding your eligibility for ScreenWise services.
05
Select a primary care provider who will receive your screening results.
06
Review your enrollment information and confirm its accuracy.
07
Complete any additional steps or forms as instructed.
08
Submit your enrollment application.
09
Wait for confirmation of your enrollment and further instructions from OHA.
Who needs oha 9270 screenwise enrollment?
01
The OHA 9270 ScreenWise Enrollment is needed by individuals who are seeking eligibility for ScreenWise services provided by the Oregon Health Authority (OHA). This enrollment form is specifically for individuals who want to participate in cancer screenings, such as breast, cervical, and colon cancer screening, as well as other preventive health services.
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What is oha 9270 screenwise enrollment?
OHA 9270 ScreenWise Enrollment is a form used by the Oregon Health Authority for enrolling individuals in the ScreenWise program, which provides cancer screenings for eligible individuals.
Who is required to file oha 9270 screenwise enrollment?
Individuals who meet the eligibility criteria for the ScreenWise program are required to file OHA 9270 ScreenWise Enrollment.
How to fill out oha 9270 screenwise enrollment?
To fill out OHA 9270 ScreenWise Enrollment, individuals need to provide their personal information, contact details, and answer questions about their eligibility for the program.
What is the purpose of oha 9270 screenwise enrollment?
The purpose of OHA 9270 ScreenWise Enrollment is to enroll eligible individuals in the ScreenWise program to receive cancer screenings and early detection services.
What information must be reported on oha 9270 screenwise enrollment?
Information such as personal details, contact information, eligibility criteria, and consent for cancer screenings must be reported on OHA 9270 ScreenWise Enrollment.
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