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Health Share - OHSU Health HRSN Climate Request Form

Health Share – OHSU Health HRSN Climate Request Form

You should use this form to request climate supports. Please note, we are currently experiencing a high volume of requests & calls that may delay initial response time.

Please allow 15-20 business days before following up on your request.

To be eligible to receive assistance, all the following must be true:

  • You must be a current Health Share OHSU Health IDS member
  • You must have a verified qualifying medical condition*
  • You are not able to get the item/service through any other benefit or means
  • The item or service must help with your medical condition and
  • You must provide all required documentation for the request

Your health plan will need to verify your qualifying medical condition (for example hospital or doctor visit or records) before approving your request. Please review the following Social Needs Assistance Guidelines for more information about qualifying medical conditions, life situations, benefit/program limitations and the commonly funded supports for each.

For members who meet all eligibility criteria and are approved, OHSU Health IDS also decides the amount(s) of funding provided as defined by OHA guidance.

Social Needs Assistance Guidelines site