Health care and service providers

What you need to know

Your role as a health care provider working with Paid Leave is important. We encourage employees who are experiencing a serious health condition or who provide care for a family member with a serious health condition to apply for Paid Leave benefits.

As a provider, when someone in your care is eligible for Paid Leave, you might receive a request from them or their family member to complete a Serious Health Condition Verification Form. Employees must provide this documentation when they send their application for benefits.

Your role with your patients

• Determine if your patient’s condition qualifies as a serious health condition and how much time they need to care for themselves or for a family member. The length of time should be based on the medical need.
• Help your patient or their family verify a serious health condition. If your patient or their family member asks you to fill out a verification form, please return it to your patient as soon as possible.

Employees can use any of the following forms of verification:

• Paid Leave Oregon Verification of Serious Health Condition Form.
• Oregon and Federal Family and Medical Leave Health Care Provider Certification. 
• Other documentation from a health care provider that includes the following:
  • A short description of your serious health condition
  • The start and end date of your serious health condition, or an explanation that the condition is chronic or permanent
  • If the condition impacts you or your family member intermittently, meaning not all the time, and how often it impacts you or your family member
  • The health care provider’s:
    • Name and title
    • License or area of practice
    • Business name, address, and phone number
    • Handwritten or electronic signature

The document supporting your leave must also include the date your health care provider signed it (must be within 60 days of the start of leave).

What you need to know

Service providers like social workers, police officers, Title IX coordinators, victim service providers, and people who work in adoption agencies or foster care organizations are important to the success of Paid Leave Oregon.

Your role

As a service provider, you can support those you serve as they apply for Paid Leave benefits. Employees who are eligible to apply for Paid Leave benefits include: 

• Survivors or parents of survivors of sexual assault, domestic violence, harassment, bias crimes or stalking
• Parents, including foster or adoptive parents, want time to bond with their child during the first year after birth, adoption, or foster care placement

When an employee applies for Paid Leave, they may need to show documentation that verifies their need for leave. As a service provider, you can help them fill out the forms or gather other documents for their Paid Leave application for benefits.