OHP Referral Form for Portland Public Schools Staff

  • PPS now has a direct referral system for PPS staff to submit referrals to OHP Assisters for families who need support:

    • Getting Enrolled in OHP or Marketplace
    • Systems Navigation to access Health Services

    Important things to know

    OHA/CPOP cannot accept referrals without prior consent to release Referred Individual Information by PPS. 
    OHP Referral Form: Cannot move forward with the referral if answer is “No” to this question. 

    Participating Organizations
    African Refugee Immigrant Organization
    Cascade AIDS Project
    Central City Concern
    Lutheran Community Services
    Pacific Northwest Refugee Support Group
    Somali American Council of Oregon

    Client Privacy Notice
    Due to "Personally Identifiable Information (PII)" laws; both state and federal, among many other ones, we cannot release any OHP case details to Portland Public Schools staff.

    Submit an OHP Referral

    Any Questions?
    CPOP Regional Outreach Coordinators
    Yessenia Yessenia.MelchorBaltazar@oha.oregon.gov​
    Mobile (971) 209-5302​
    Najma najma.haji-mohamed@oha.oregon.gov ​
    Mobile (971) 673 1230​ 
    Leti Ayala, PPS Health Services Program Manager
    layalaguillen@pps.net

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