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.

When to Use the Medical Services Lien Template

A hospital, clinic, physician or other medical service provider can claim a lien for any unpaid amount for hospitalization or medical services rendered to a patient.

The lien is placed on the proceeds of any claim that the patient makes for compensation or damages.

Features of Document

  • 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. Easy to download, fill in and use.

Legal Jurisdiction

This Medical Services Lien form was prepared in accordance with Oregon Revised Statutes S. 87.565 and intended to be used only in that State.

Document Type: Microsoft Word
Last Updated: 12-November-2025
SKU: 7019
$8.99