Forms & Information

Forms Instructions

Home Health Care Plan Oversight

Overview for Medicare Patients

Home Health Referral Forms

Referral and Face-to-Face Verification forms: Benedictine, serving Marion, Polk and Linn-Benton counties Portland, Yamhill, North Coast and Gorge...

Palliative Care Services in Southern Oregon

Providence Home Health Palliative Care is an extension of our traditional Home Health program. Patients needing palliative care often have complex needs that require specialized care.

Proprietary Health Article

Are you at risk for a fall in your home?

Take this self-assessment test to find out.

What to expect: Helping a loved one through the dying process

This 12-page guide helps caregivers and family members understand the emotional, physical and spiritual aspects of the days and moments before death.

Recommended Resource

Eldercare Locator

Welcome to the Eldercare Locator, a public service of the U.S. Administration on Aging. The Eldercare Locator is your first step for finding local agencies, in every U.S. community, that can help older persons and their families access home and community-based services like transportation, meals, home care and caregiver support services.

Family Caregiver Alliance

Founded in 1977, Family Caregiver Alliance was the first community-based nonprofit organization in the country to address the needs of families and friends providing long-term care at home. Long recognized as a pioneer in health services, FCA now offers programs at national, state and local levels to support and sustain caregivers.

FamilyDoctor.org: Chronic pain medicines

FamilyDoctor.org page on Chronic pain, how to identify and treatment resources.

FamilyDoctor.org: Medicamentos para el dolor cronico (Chronic Pain Meds in Spanish)

FamilyDoctor.org page on Chronic pain, translated to Spanish.

Healthfinder.gov: Arthritis

The U.S. Department of Health and Human Services Healthfinder.gov tool’s page on arthritis. Includes FAQs and an overview of the types of arthritis with resource treatment options.

Healthfinder.gov: Pain

The U.S. Department of Health and Human Services page on Pain, how to identify, treat and relevant resources.

Medline Plus: Arthritis

Medline’s page on Arthritis, discussing types and symptoms with links to various resources for treatment and interactive tools.

Medline Plus: Pain

The National Library of Medicine’s online tool Medline Plus provides definition and treatment resources for pain management.

National Center for Complementary and Alternative Medicine

Main site for alternative medicine including acupuncture, dietary supplements, herbs, massage techniques and other non-traditional medical practices.

National Family Caregivers Association

The National Family Caregivers Association educates, supports, empowers and speaks up for the more than 65 million Americans who care for loved ones with a chronic illness or disability or the frailties of old age. NFCA reaches across the boundaries of diagnoses, relationships and life stages to help transform family caregivers' lives by removing barriers to health and well being.

National Institute of Arthritis and Musculoskeletal and Skin Diseases

NIAMS landing page with search for conditions in the health index and related resources.

Oregon Department of Human Services, Seniors and People with Disabilities

Services to seniors and people with physical disabilities focus on supporting peoples' needs to meet fundamental activities of daily living (ADL) such as bathing, dressing, mobility, cognition, eating and personal hygiene. Long-term services ensure that the person is living in a safe and healthy environment that promotes choice, independence and dignity. Services can be provided in nursing facilities, in community settings such as residential care facilities and foster homes, or in the person's own home.

Providence Hood River Memorial Hospital Community Assets and Needs Assessment Report

Every three years, Providence Hood River Memorial Hospital assesses the needs and assets of Columbia River Gorge communities with a focus on Hood River County.

Ride Connection

Ride Connection, a non-profit organization, is dedicated to providing responsive, accessible transportation options for those in need. While many of our customers are older adults and people with disabilities, we strive to provide transportation solutions for the community at large.

State of Oregon: Senior Health Insurance Benefits Assistance Program

Navigating Medicare can be confusing. To find out about your Medicare insurance options, contact the Senior Health Insurance Benefits Assistance (SHIBA) program. Our volunteer counselors provide one-on-one counseling and assist with appeals or insurance complaints.

TriMet: LIFT Paratransit Program

TriMet's LIFT program is a shared-ride public transportation service for people who are unable to use regular buses or trains due to a disability or disabling health condition.