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My Eligibility Checklist

We have created an easy-to-use Eligibility Screening Checklist. Please click on the link below for English or Spanish version.

 

This will walk you through everything you need to gather for your screening. The checklist is in a PDF format. Click on the link and print it out so that you can fill it in. 

 

If you need help, please call the Front Desk at (541) 330-9001.

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