Oregon Medical Services Lien

Oregon health care providers, protect your lien rights 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.

This Oregon Medical Services Lien form is provided in MS Word format, and is easy to download, fill in and print.