CH-010: BH PCA Referral
Oregon Behavioral Health Support Program
OBHSP Frequently Asked Questions
From the 6/25/2020 webinar.
Consent for Release of Information and Participation in the Oregon Behavioral Health Support Program
Oregon Behavioral Health Support Program
Please complete this form to give your consent to use and disclose your PHI.
Form CH-009: SRTF Criteria Checklist (Based on OAR 410-172-0163(7))
Oregon Behavioral Health Support Program
Please complete form CH-009 to request authorization for an individual who will be transitioning to an SRTF.
CH-008: Crisis Respite Request
Oregon Behavioral Health Support Program
Please complete form CH-008 to request authorization for crisis respite stays for individuals in residential and adult foster home settings. To be completed by crisis respite provider.
CH-006: Plan of Care Request for Behavioral Health Residential or Personal Care Services
Oregon Behavioral Health Support Program
Please submit form CH-006 to request a plan of care for adult foster care or residential personal care/habilitation services.