EOCCO provider forms
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Provider Forms



Flexible Services Request Form (Health Related Services)

Health related services are non-covered services under OHP with goals to improve the way members get care and improve their health. These services are in addition to covered services and benefits under EOCCO. There are two kinds of health related services, flexible services and community benefit initiatives. Members can take the form to their healthcare provider to fill out and submit.

Please see the flexible services and health related services request form for more information.

Health Related Social Needs (HRSN)- Climate Devices


FREE Online Pain School for EOCCO Members

This class is intended to help individuals better understand chronic pain, increase confidence in dealing with pain, and provide a range of options to consider for treatment.

The program is full of useful tips, techniques and resources to get you moving down the path toward feeling more in control and hopeful despite living with pain. Each session lasts one hour and includes downloadable documents that will be completed in class throughout the four-week program.

Community health worker training modules

Oregon community health worker training

An innovative online Community Health Worker (CHW) online and on-site training program is designed to support progress in public health outcomes for Eastern Oregonians.


  • Provider diversity data - submit diversity, equity, and inclusion focused information for yourself (contracted practitioners)
  • Clinic diversity data - submit diversity, equity, and inclusion focused information for contracted clinics/facilities




Customer Service: 888-788-9821 (TTY users: 711)
Pharmacy Customer Service 888-474-8539
Hours: Monday through Friday, 7:30 a.m. to 5:30 p.m. PST

EOCCO members should have their member ID number ready for quicker help.

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