Oregon health in home care 2026

1. Click ‘Get Form’ to open the In-Home Care Agency License Application Form in the editor.
2. Begin by selecting the type of action you are applying for: New Agency, License Renewal, or Change Request. Fill in the required fields such as License Number and Effective Date of Change if applicable.
3. Provide your agency information, including the legal name, DBA name (if any), physical address, and contact details. Ensure all information is accurate to avoid delays.
4. Complete the ownership section by listing all owners and their contact information. If any owner has direct client contact, attach the necessary background check request form.
5. Describe your geographic service area clearly. Indicate whether your agency is located within a commercial business building or other specified types.
6. Select your classification level based on the services provided. Make sure to review the definitions of Limited, Basic, Intermediate, and Comprehensive classifications.
7. Finally, declare that all information is true by signing and dating the application at the bottom of the form before submitting it through our platform.

Start filling out your Oregon Health In-Home Care application today for free using our platform!