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Get Or 75078 2008-2025
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How to use or fill out the OR 75078 online
The OR 75078 form is the visitor application for forensic patients at the Oregon State Hospital. This guide provides comprehensive instructions on how to fill out the form accurately and efficiently online, ensuring a smooth submission process.
Follow the steps to complete the OR 75078 form online.
- Click ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
- Begin by entering the patient's name and the corresponding unit in the designated fields.
- Select the appropriate program by circling either 'FPS' or 'PRS' based on your situation.
- Fill in the visitor's name in the 'Visitor’s Name' section, ensuring clarity and legibility.
- Indicate whether the application is for an adult, minor, pastoral/religious support, or other by checking the relevant box.
- Complete the mailing address, city, state, zip code, and telephone number, ensuring all information is accurate.
- Enter the visitor's birth date and place of birth in the specific fields provided.
- Provide the visitor's height, weight, eye color, hair color, driver’s license number/state, and social security number as requested.
- Describe your relationship to the patient in the appropriate section.
- Record how long you have known the patient.
- Answer whether you are visiting anyone else in a correctional or public psychiatric facility by checking 'Yes' or 'No'.
- If applicable, provide the name of the individual you are visiting and the place of that facility.
- Indicate if you have been arrested in the last five years by selecting 'Yes' or 'No', and acknowledge the implications of this disclosure.
- Sign and date the application as the adult visitor applicant.
- If applicable, the parent or legal guardian should provide permission for a minor's visit, completing their signature and date.
- Complete the patient consent and program approval/denial section, ensuring all necessary signatures are obtained for proper processing.
- Upon completion, save your changes, and download, print, or share the completed form as needed.
Complete your OR 75078 form online today to facilitate your visitation process.
The individual or entity receiving payments fills out the W-9 form, providing their taxpayer information to the payer. The payer relies on the completed W-9 to ensure accurate tax reporting compliance. This essential relationship is vital for both parties in OR 75078 to maintain proper records and avoid taxation issues.
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