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C. [OAF] OMMP Application Fee Payment

You are about to pay the OMMP application fee that is sent to OHA with your application:

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Application fee to be paid:

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Depending on whether you have support benefits, you will need to pay the OMMP application fee. Here are the fees - pick the LOWEST fee you qualify for:

  • Standard Fee $200 - No support benefits

  • SNAP/EBT $60

  • OHP $50

  • Military Veterans $20

  • Supplemental Security Income $20

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3. Patient Information:

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You'll want images of your documents on your device to upload into this form. You can use your smart phone or tablet to take a picture of your ID.​

psychedelics

service areas: Adair Village, Adams, Adel, Adrian, Ainsworth, Albany, Allegany, Alsea, Amity, Antelope, Arlington, Ashland, Astoria, Athena, Aumsville, Aurora, Baker City, Bandon, Banks, Barlow, Bay City, Boardman, Bonanza, Boring, Brookings, Brothers, Burns, Butte Falls, Camas Valley, Cannon Beach, Canyon City, Canyonville, Carlton, Cascade Locks, Cave Junction, Central Point, Chiloquin, Clatskanie, Coburg, Columbia City, Condon, Coos Bay, Coquille, Cornelius, Corvallis, Cottage Grove, Creswell, Culver, Dallas, Dayton, Dayton, Depoe Bay, Detroit, Donald, Drain, Dufur, Dundee, Dunes City, Durham, Eagle Point, Echo, Elgin, Elkton, Enterprise, Estacada, Eugene, Fairview, Falls City, Florence, Forest Grove, Fossil, Garibaldi, Gaston, Gates, Gervais, Gladstone, Glendale, Gold Beach, Gold Hill, Grand Ronde, Grants Pass, Grass Valley, Gresham, Halfway, Halsey, Happy Valley, Harrisburg, Heppner, Hermiston, Hillsboro, Hood River, Hubbard, Huntington, Imbler, Independence, Ione, Jacksonville, Jefferson, John Day, Johnson City, Jordan Valley, Joseph, Junction City, Keizer, King City, Klamath Falls, La Grande, La Pine, Lafayette, Lake Oswego, Lakeside, Lakeview, Lebanon, Lincoln City, Lonerock, Long Creek, Lostine, Lowell, Lyons, Madras, Malin, Maupin, McMinnville, Medford, Mill City, Milton-Freewater, Milwaukie, Mitchell, Molalla, Monmouth, Monroe, Monument, Moro, Mosier, Mount Angel, Myrtle Creek, Myrtle Point, Nehalem, Newberg, Newport, North Bend, North Plains, Nyssa, Oakland, Oakridge, Ontario, Oregon City, Pacific City, Pendleton, Philomath, Phoenix, Pilot Rock, Port Orford, Portland, Powers, Prairie City, Prineville, Rainier, Redmond, Reedsport, Riddle, Rockaway Beach, Rogue River, Roseburg, Rufus, Salem, Sandy, Scappoose, Scio, Scotts Mills, Seaside, Sheridan, Sherwood, Silverton, Sisters, Spray, Springfield, St. Helens, St. Paul, Stanfield, Stayton, Sublimity, Sutherlin, Sweet Home, Talent, Tangent, The Dalles, Tigard, Tillamook, Toledo, Tualatin, Turner, Umatilla, Union, Unity, Vale, Veneta, Vernonia, Waldport, Wallowa, Warrenton, Wasco, Waterloo, West Linn, Wheeler, White City, Willamina, Williams, Wilsonville, Winchester Bay, Winston, Wood Village, Woodburn, Yachats, Yamhill

Business Mailing Address:
GEM Clinic

PO Box 1485

Grants Pass, OR 97528
Phone: (503) 272-8781​
Fax: (503) 536-6458

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