General 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 Wraparound
Referral and Checklist
Paquete de admisión Gambling
Referral Form
DD Application Social Security
Release of Information
PHI Authorization
DD Application
– Spanish
Copy Request


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 Grievance and Appeal Action Notice of Hearing Rights Notice of Hearing Rights