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Report your Living Well Data

The Oregon Health Authority asks your assistance in collecting information about where Stanford self-management programs are being offered across Oregon and who is participating. This information helps track statewide successes and identifies additional training, funding, and other support needs.

For every set of completed data forms received from a Stanford licensed organization for either a Living Well or Tomando Control program (the Program Summary, Attendance Log and all completed Participant Information forms), OHA will send back up to 10 Living a Healthy Life with Chronic Conditions or Tomando Control de su Salud program books to the program coordinator.

 

Report Workshop Data Packages via Fax/Email/Mail

The About this Workshop Survey Packet (pdf) (UPDATED) provides an overview of forms and usage for Stanford self-management program leaders.

Living Well/CDSMP and other English-language Stanford program forms:


Spanish Language Forms

Please note updated versions of these forms are undergoing translation as of December 2013.

 

Report Upcoming Programs Online

To report an upcoming program please use the link below:

  • Upcoming Programs can now be submitted online!
    Please send us information about all upcoming programs, whether or not they're open to the public. Include all information necessary to post the information on our online workshop calendar and/or to track internally.  Workshop type, location, date, time, city, county, cost (if any), and contact for registration.

 

Mailing Address:
Living Well with Chronic Conditions
Health Promotion & Chronic Disease Prevention
800 NE Oregon St., Ste. 730
Portland, OR 97232

Faxing Instructions:
Please fax documents to 971-673-0994, attention to Susan Miles. 
Fax cover sheets should read "FOR OFFICIAL USE ONLY."


Email:
susan.m.miles@state.or.us
Please note that scanned documents sent electronically should only be sent via encrypted email.

 

 See Also