The Oregon Department of Human Services asks your assistance in collecting information about where Living Well 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.
Please note that for every set of completed data forms received for either a Living Well or Tomando Control program (the Program Summary form and all completed Participant Information forms), DHS will send back 10 Living a Healthy Life with Chronic Conditions or Tomando Control de su Salud program books.
To report program summaries and participant information, please use the forms below:
- Program Summaries can also be reported online! Please complete this at the end of each 6-week program you lead and submit data by mail or email to DHS within 2 weeks of completing the program.
- 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 for us to post the information on our online workshop calendar: Workshop type, location, date, time, city, county and contact for registration.
Report via Fax/Mail
The following forms and memos explain the process of collecting and submitting data to The Oregon Living Well Program:
Faxing Instructions: Please fax documents to 971-673-0994 in care of Living Well with Chronic Conditions.
Living Well with Chronic Conditions
Health Promotion & Chronic Disease Prevention
800 NE Oregon St., Ste. 730
Portland, OR 97232