Oregon Request to Change Attending Physician or Authorized Nurse Practitioner

• Category: Oregon Workers Compensation - Official - First Report of Injury
• State: Oregon
• Control #: OR-SKU-1759
• Format: Word

Description

Request to Change Attending Physician or Authorized Nurse Practitioner Oregon Request to Change Attending Physician or Authorized Nurse Practitioner is a form issued by the Oregon Health Authority that allows a patient to change their attending physician or authorized nurse practitioner. The form requires the patient to provide information about their current physician, the name and information of the new physician, and a statement of consent for the change. There are two types of Oregon Request to Change Attending Physician or Authorized Nurse Practitioner form: one for changing an attending physician and one for changing an authorized nurse practitioner. Both forms must be completed and signed by the patient, the current physician or nurse practitioner, and the new physician or nurse practitioner before the change can be made.

Oregon Request to Change Attending Physician or Authorized Nurse Practitioner is a form issued by the Oregon Health Authority that allows a patient to change their attending physician or authorized nurse practitioner. The form requires the patient to provide information about their current physician, the name and information of the new physician, and a statement of consent for the change. There are two types of Oregon Request to Change Attending Physician or Authorized Nurse Practitioner form: one for changing an attending physician and one for changing an authorized nurse practitioner. Both forms must be completed and signed by the patient, the current physician or nurse practitioner, and the new physician or nurse practitioner before the change can be made.