Client Forms

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

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

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