Oregon Medical Services Lien

Oregon health care providers, protect your lien rights and make sure your fees get paid with this Medical Services Lien form.

  • The lien is claimed by a hospital, clinic, physician or other service provider for any unpaid amount for hospitalization or medical services rendered to a patient, and is claimed against the proceeds of any claim for compensation or damages made by the patient.
  • The form includes a copy of ORS 87.565, which explains how the lien form must be filed and served.
  • Buy the form once, and it's yours to use as often as you require.
  • Available in MS Word format.
  • Intended to be used only in the State of Oregon.
Document Type: Microsoft Word
Last Updated: 27-January-2024
SKU: 7019
        $9.99
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