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OHP Referral Form for PPS Staff

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