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Suggestion Box
How are We Doing?
Call us to learn more about CareSource:
Toll-free 1-888-460-0185
(541) 471-4106 (Grants Pass)
(541) 734-5520 (Medford)
Fax (541) 471-1524
TTY/TDD: 1-800-735-2900
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Authorization for Release of Health Information
Below are links to an Authorization for Release of Health Information form. For your convenience, the form is available in Adobe's PDF as well as Microsoft Word. If you do not have either of those programs, Adobe Reader is supplied for you also to view the PDF version.
 Authorization for Release of Health Information - PDF version
Adobe Reader is needed to view downloads, you can download it here:
 Download Adobe Reader
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