Client Forms

These are the most frequently used forms, which can be downloaded and printed.

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Please note that these forms are to be downloaded, printed, filled out and brought to your appointment

Admission Packet

Paquete de admision

Complaint Form

Copy Request

DD Application

Aplicacion DD

Gambling Questionnaire

Lifeways Inter-agency Referral

Lifeways ROI Form

Social Security ROI

Wraparound Eligibility Criteria '20

Wraparound Referral Form '20

Greater Oregon Behavioral Health, Inc. Forms and Information

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The following forms allow you to file a grievance regarding Lifeways with the Managed Health Organization.

Forma de Queja

Grievance Form

Notice of Action

Notice of Hearing Rights

Notice of Grievance & Appeal Action