Get Or Oha 2585 2019-2025

The OR OHA 2585 form is essential for organizations or facilities wishing to become designated caregivers for patients enrolled in the Oregon Medical Marijuana Program. This guide provides clear instructions on completing the form accurately to facilitate this process.

Follow the steps to complete the OR OHA 2585 form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the fields related to the organization or facility. Include the full name of the organization or facility that provides hospice, palliative, or home health care services.
3. Next, enter the name of the designated caregiver who will manage the marijuana for the patient. Include their date of birth and ensure to enclose a copy of the caregiver’s state-issued ID that shows the date of birth.
4. Provide the name and date of birth of the medical marijuana patient clearly to ensure proper identification.
5. In the signature section, attest to your authority to designate the organization as a caregiver. Print your name, phone number, and the title you hold within the organization.
6. After completing all sections, save your changes. You may also download, print, or share the completed form as needed.

Complete your OR OHA 2585 form online today to support your patient effectively.