Follow the steps to complete the online change form.

1. Press the ‘Get Form’ button to access the OR OMMP OHA 9241 Change Form. This will open the form in your online document editor.
2. Begin with the patient information section. Carefully enter your name (first, middle initial, last), mailing address, city, phone number, state, ZIP code, date of birth, gender, and county. Make sure all information is legible and accurate.
3. If you need to add or change a caregiver, complete that section by providing the caregiver's name, date of birth, mailing address, gender, city, state, ZIP code, county, phone number, and government-issued photo ID number. If you wish to remove a caregiver, check the appropriate box.
4. For grower information, fill in the details if you are changing or adding a grower. Include the same details as for the caregiver. If you are removing a grower, check the designated box. Remember that if you remove a grower, you must also remove the grow site.
5. In the grow site information section, provide the physical grow site address, including city, state (OR), ZIP code, and county. Check if the grow site is outside or within city limits and enclose any requested zoning documentation if applicable.
6. Answer the required questions related to the grower and grow site. Ensure that you select 'Yes' or 'No' for each question as failure to do so may render your application incomplete.
7. Finally, sign and date the form in the patient signature section to confirm that the information provided is accurate. This signature is required for submission.
8. Review the form for completeness, ensuring all required fields are filled out. Once satisfied, save your changes, download the completed form, and print it if necessary. Follow the submission instructions provided to send the form and any applicable fees.

Start completing your OR OMMP OHA 9241 Change Form online today to ensure your registration remains up-to-date.