Oregon Family to Family Health Information Center - Parent Partner Request Form 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the 'PARENT NAME' field. This identifies you as the requester.
  3. Fill in today’s date to provide a reference for your request.
  4. Select the type of information you need by checking the appropriate boxes under 'I NEED INFORMATION ABOUT'. You can choose multiple options based on your needs.
  5. In the 'SUPPORT' section, indicate how you would like assistance, whether it's communicating with healthcare providers or connecting with another parent.
  6. Complete the 'COMMUNITY SERVICES' and 'FINANCIAL HELP' sections by checking relevant boxes that apply to your situation.
  7. Provide your contact details, including phone number and email, ensuring you specify your preferred method of communication.
  8. If applicable, fill out the professional requester section, including agency details and permission confirmation from the family member.
  9. Finally, review all entered information for accuracy before submitting via fax, email, or postal mail as indicated at the bottom of the form.

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