Click here for other Pages

Certified Application Assistors can help with:

  • Applying for health insurance under Oregon Health Plan or the Oregon Health Marketplace
  • OHP/ QHP renewals
  • Changes of information
  • Request for information (RFI)
  • Assistance available in English, Spanish, Chuukese, & Marshallese
 In-Home Enrollment Services Available

To schedule an appointment call:

Northwest Family Services
6200 SE King Road
Portland, OR 97222
503-546-6377 (Main)
503-546-9397 (Fax))

Application Checklist

Use the checklist below to help gather what you will need to complete your application

  • Information about your “Tax Household:” Spouse, children, domestic partner (only if you have children together), anyone else who is a tax dependent-even if they are not applying for insurance
  • Home and/or mailing address for everyone in your household
  • Social Security Number if applicable
  • Dates of birth for each person on application
  • Documents to verify citizenship or immigration status (e.g. immigration status and document type).
  • Employer: address, start date, and income information for your household (for example, copies of pay stubs or W-2 forms, wages and tax statements).
  • If self employed: bring documents about income and deductions
  • Other income like alimony or Social Security Income and deductions such as moving expenses, IRA, tuition.
  • If currently insured, not with OHP/Healthy Kids, the following information is needed: type of health insurance, plan name, policy and ID for those who are covered

For Outreach please contact:

Zuri Lopez
503-546-6377 (Main)
503-546-9397 (Fax)