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2251 Table Rock Road
Medford, OR 97501
Phone: 541-779-5785
Fax: 541-857-1118
Hours: MON-THUR 8:00 TO 4:30; FRIDAYS~CLOSED; 1ST THURSDAY EACH MONTH 10:00 TO 4:30
The waiting lists are open for all programs.
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HCV Forms
NEW HOURS BEGINNING AUGUST 1, 2018
MONDAY to THURSDAY 8:00 - 4:30
FRIDAY ~ CLOSED
1st THURSDAY of EACH MONTH ~ 10:00 - 4:30
Annual Recertification Packet
Change Report Form
Add Member Form
Add Live-in-Aide Form
Portability Request
Informal Hearing Request
Information Hearing Guidelines
Reasonable Accommodation
VAWA (Violence Against Women Act) Certification Form
VAWA (Violence Against Women Act) Emergency Transfer Form
Voluntary Termination from the HCV Program
Who is my caseworker?
Caseloads are arranged alphabetically by last name as follows:
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