Lifeways

Forms

These are the most frequently used forms, which can be downloaded and printed. Completed forms can be mailed to:

Lifeways, Inc

702 Sunset DriveOntario, OR 97914

or Fax to 541-889-7873


You will also find Greater Oregon Behavioral Health, Inc., forms here, allowing you to file a grievance regarding Lifeways with the Managed Health Organization.

Malheur Forms:

Admission Form (139Kb)
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CRT Referral (105Kb)
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Complaint Form (79Kb)
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Consent for CRT Meetings (100Kb)
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Gambling Questionnaire (86Kb)
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Lifeways Interagency Referral Form (57Kb)
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Malheur Copy Request (38Kb)
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Malheur Referral (240Kb)
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PHI Authorization Malheur (138Kb)
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DD Application (103Kb)
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Social Security ROI (26Kb)
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DD Application - Spanish (395Kb)
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Umatilla Forms:

File Info: 

Name: Umatilla_Referral_Form.pdf (18)

Umatilla Referral Form

Send information about this file to

Subject

Notes

 


Greater Oregon Behavioral Health, Inc. Forms and Information:

Forma de Queja (24Kb)
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Grievance Form (22Kb)
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Notice of Action (18Kb)
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Notice of Grievance and Appeal Action (24Kb)
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Notice of Hearing Rights (24Kb)
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Lifeways | Official Forms | Malheur & Umatilla, Oregon