Provider Resources

The committees of the 100% Access Initiative have developed the following resources to help healthcare and human service providers who work with uninsured indivduals.

In its commitment to developing a system of care for the uninsured, the 100% Access Initiative is working to identify existing resources across Lane County, coordinate those programs and services, and then help connect uninsured indivduals to the care they need.

Medical Access Program
Charitable Immunity Waiver Forms State of Oregon Board of Medical Examiner's Charitable Immunity Waiver request forms and related statutes for providers
MAP MIS User Registration User name and password request form
Provider Sign up Form Provider Sign Up Form to accept Medical Access Program patients
Medications Price Lists and Brochures
Community Pharmacy Brochure Brochure for providers to give to patients explaining some of the available assistance in Lane County. (two-sided, tri-fold)
Free and Low-Cost Medications by Alpha Compiled price list of free and low-cost drugs alphabetized by drug name. Last revised April 2008.
Free and Low-Cost Medications by Class Compiled price list of free and low-cost medications by drug class. Last revised April 2008.
Healthcare and Mental Health Referral Cards
Healthcare safety net clinics and dental referral cards Most current version August 2007 of healthcare safety net clinics and dental referral cards.
Mental health referral services Most current version of mental health referral resources for adults and children.
Living Well -- Chronic Disease Self Management Classes
Flyer for upcoming group leader training There is a Spanish group leader training scheduled for June 20, 21 and 27, and 28th. Participants must attend the full four days. Call 687-6200 for more information and to register.
Health Insurance Advocate Training Handouts Feb 2007
FHIAP Reservation Form Family Health Insurance Assistance Program Individual Program Reservation Sign-Up Form
Healthcare Acronyms List of acronyms for healthcare programs, and state agencies and programs.
Oregon Health Plan Application Check List List of suggested items needed to ensure a complete OHP application.