Member Forms and guides

Members Forms and Guides

Documents available in multiple languages, please expand for options. Don't see the language you need? Please contact CareOregon Customer Service to request the desired language.

Phone: 503-416-4100, toll-free 800-224-4840 or TTY 711.

Or email: customerservice@careoregon.org.

Hours: 8 a.m. to 5 p.m. Monday-Friday.

Riders Guide

Provides helpful information for members and their supports about how the Ride to Care program works.

Reimbursement Guide

Provides a more detailed overview of how the Ride to Care reimbursement process works, including more information about mileage, meal and lodging reimbursements members may be eligible for.

Reimbursement Guide - English: Regular print | Large print

Reimbursement Guide - Spanish: Regular print | Large print

Reimbursement Guide - Arabic: Regular print | Large print

Reimbursement Guide - Simplified Chinese: Regular print | Large print

Reimbursement Guide - Traditional Chinese: Regular print | Large print

Reimbursement Guide - Korean: Regular print | Large print

Reimbursement Guide - Russian: Regular print | Large print

Reimbursement Guide - Somali: Regular print | Large print

Reimbursement Guide - Ukranian: Regular print | Large print

Appointment Verification Form

A form used to verify members’ health care appointment(s) as part of the reimbursement process. Please see the Reimbursement Guide for more information about the reimbursement process.

Ride Subscription Verification Form

Similar to the Appointment Verification form, this form is used to verify members’ health care appointments that happen at the same location on a consistent and reoccurring basis.

Member Rights and Responsibilities

Provides a list of expectations members can expect of the Ride to Care program, and in return what the Ride to Care program expects of members.

Member Rights and Responsibilities (English)

Appointment of Representative Form

A form used to designate an authorized representative to navigate any part of the NEMT process on behalf of a member

Secure Transport Consent Form

This form is used to provide written consent for secure transport, when required.

Grievance and Feedback Form

Online form to submit a grievance and/or other feedback about the Ride to Care program. Online submissions are monitored from 7 a.m. to 6 p.m., Monday through Friday. For urgent grievances please call Ride to Care directly at 503-416-3955 for immediate assistance.

Grievance and Feedback Form (online)

Ride Cancellation Form

Online form to cancel any trips that have already been scheduled. Please fill out form completely. Do NOT use this form if your trip is scheduled for today or tomorrow. Please call Ride to Care for same-day or next day cancellations at 503-416-3955.

Ride Cancellation Form (online)

NEMT Overview

One-page handout providing a brief overview of the Ride to Care program

Members Forms and Guides

Riders Guide

Reimbursement Guide

Appointment Verification Form

Ride Subscription Verification Form

Member Rights and Responsibilities

Appointment of Representative Form

Secure Transport Consent Form

Grievance and Feedback Form

Ride Cancellation Form

NEMT Overview

Riders Guide

Reimbursement Guide

Appointment Verification Form

Ride Subscription Verification Form

Member Rights and Responsibilities

Appointment of Representative form

Grievance and Feedback Form (online)

Ride Cancellation Form (online)