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Oregon SBHC Standards for Certification

Oregon's SBHC standards for certification were developed in partnership with the Oregon School-Based Health Alliance, Conference of Local Health Officials, and the SBHC State Program Office (SPO).  Oregon's certification process was implemented on July 1, 2000. In 2014, Oregon Administrative Rules 333-028-0200 through 333-028-0250 were adopted to establish the procedures and criteria the Oregon Health Authority shall us to certify, suspend and decertify SBHCs. Certification of a SBHC by the SPO is voluntary; an operating clinic is free to operate without participating in SPO certification. However, only certified SBHCs are eligible for funding from the Oregon Health Authority.

Reference to certification requirements can be found OARS 333-028-0200 through 333-028-0250 and in the Local County Health Department contracts under Program Element 44: School-Based Health Centers.


SPO Standards for Certification (pdf)


The goals of standardization are to:

  • Establish clearly-defined SBHC model for Oregon;
  • Reduce site-to-site variability; and
  • Increase evidence-based practice and quality improvement, particularly among adolescent and child populations.

Benefits of certification:

  • Inclusion in the SPO funding formula; 
  • Access to grant projects and funding through the SPO; 
  • Access to technical assistance through the SPO; 
  • Increased capacity to leverage money from other sources (such as federal grants); 
  • Access to statewide network of SBHC; and 
  • Representation of data in SPO materials and access to SBHC data by request.



SBHC Certification Process


For SBHCs applying for certification for the first time:

Initial Certification Application (website link)




Confirm Date of Site Visit
Notify Partners 
One Month Prior to Site Visit
Update Operational Profile (website link)
Day of Site Visit
Schedule 2 primary care
(well child exam, complete physical exam) visits
*Verification review CAN NOT be completed without these appointments
Have updated certification binder on site




SBHC SPO Certification Team Territories (pdf)


  • A lack of signage directing students and visitors to SBHCs location
  • Missing exit and emergency exit signage
  • Missing policies and procedures
  • Missing signatures on policies and procedures
  • Outdated policies and procedures
  • Policies and procedures that are not inclusive of all SBHC partners (e.g., school, medical sponsor, etc.)
  • Lack of evidence of medical director involvement
  • Patient confidentiality concerns
  • Suppression of EOB/billing issues
  • Not meeting SPO annual key performance measure requirements
  • Not meeting patient satisfaction survey requirements