Here's how it works
01. Edit your address change form template online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send address change form via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out ohp change form with our platform
- Click ‘Get Form’ to open the OHP Address Change Request Form in the editor.
- Begin by entering your name as it appears on file with OHP in the designated field.
- Fill in your date of birth using the format MM/DD/YYYY to ensure accuracy.
- Input your Member ID number in the provided space for identification purposes.
- 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.
- Next, provide your current address on file with OHP in the corresponding fields to facilitate a smooth transition.
- Sign the form electronically in the signature field to validate your request.
- Finally, include today’s date before submitting via secure message to ohp.outreach@state.or.us.
Start using our platform today for free to streamline your OHP address change process!
Fill out ohp change form online
It's free
It's free
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
Learn more
