COVID-19 Self Screening Form

Please complete and submit the online or PDF Self Screening Form before entering the North Sound BH-ASO office.  Please note that the PDF 'submit form' button works best in Chrome.  If you are using a browser besides Chrome, you may have to download the PDF fillable form and email it directly to hr@nsbhaso.org .

 

VISITOR SELF SCREENING FORM

EMPLOYEE SELF SCREENING FORM

PDF SELF SCREENING FORM

Suspect Fraud?

800.684.3555

Anonymously report suspected fraud, waste, or abuse to the North Sound BH-ASO Compliance Officer by using the Compliance Hotline.

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Dissatisfied with service?

888.336.6164

or visit the Ombuds website for assistance in filing a complaint or appealing a denial of service.

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