Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

Forms

General forms

Credentialing forms

Mind Body Connection

To improve coordination of care between PCPs and Mental Health Providers for Southern Oregon residents, the Mind Body Connection (MBC) collaborative was established in 2005. MBC created a Notice of Referral/Consent For the Release of Information form for OHP members. This form exists to enhance communication of vital information between mental and physical health care providers via a legal release of information signed by the patient, parent or legal guardian. Moda Health partners with Family Care and Mid Rogue Health Plan to distribute this tool to providers in Jackson County. Please use this new form with all OHP patients in Jackson County. You may download the form and checklist using the links below.

Moda Health Provider Network

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Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Hello.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

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