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Prehospital Care Order Form
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Thank you for using the Prehospital Care Order Form (pdf).

Please download the form, fill it out, print it and mail it to us. 

Allow 4-6 weeks to process your order.

  • All orders must be accompanied by a check or money order.
  • All orders are still on a prepaid basis.
  • Include a street address - UPS cannot deliver to a P.O. Box.
  • Make checks payable to: Oregon Health Authority - EMS
  • Mail completed form and payment to:

    Oregon Health Authority - EMS
    Business Services - 465
    P.O. Box 14260
    Portland, OR 97293-0260

If you have any questions, please contact us