Ohp change form 2026

1. Click ‘Get Form’ to open the OHP Address Change Request Form in the editor.
2. Begin by entering your name as it appears on file with OHP in the designated field.
3. Fill in your date of birth using the format MM/DD/YYYY to ensure accuracy.
4. Input your Member ID number in the provided space for identification purposes.
5. In the 'Requested Address Change' section, enter your new address details, including Address Line 1 and Line 2, followed by your city, state, and zip code.
6. Next, provide your current address on file with OHP in the corresponding fields to facilitate a smooth transition.
7. Sign the form electronically in the signature field to validate your request.
8. Finally, include today’s date before submitting via secure message to ohp.outreach@state.or.us.

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