Phone 541-269-7400 Fax 541-269-7147-2026

1. Click ‘Get Form’ to open the Complaint Packet in the editor.
2. Begin by entering your name and phone number in the designated fields. Ensure accuracy for effective communication.
3. If you are not the OHP member, provide their name and medical ID number. This is crucial for identifying the case.
4. Indicate whether you have a complaint by selecting 'Yes' or 'No'. If 'Yes', describe the issue in detail in the provided space.
5. Attach any relevant documents that support your complaint. Use the attachment feature in our editor for convenience.
6. Complete the ‘Authorization for Use and Disclosure of Information’ form if necessary, ensuring all required fields are filled out accurately.
7. Review all entered information for completeness and accuracy before submitting your complaint via fax or mail using the provided contact details.

Start using our platform today to streamline your document completion process for free!