Forms & Documents

Showing 41–60 of 100 documents

2022 Election Results

Government & Council Report
Official results from the June 2022 Cowlitz tribal council election.
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2023 Election Results

Government & Council Report
Official results from the June 2023 Cowlitz tribal council election.
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2024 Election Results

Government & Council Report
Official results from the June 2024 Cowlitz tribal council election.
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2025 General Council Audit Count

Government & Council Report
Official audit count results from the 2025 General Council meeting.
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GWE Portal Login

Government & Council Online Form
Access the General Welfare Exclusion (GWE) portal for tribal member benefits.
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2026 Area Wide Tribal Behavioral Health Conference — Agenda

Health Services Resource Guide
Draft agenda for the October 6-7, 2026 Area Wide Tribal Behavioral Health Conference.
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2026 Behavioral Health Conference — Sponsorship Application

Health Services Application
Application form to become a sponsor for the 2026 Area Wide Tribal Behavioral Health Conference.
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2026 Behavioral Health Conference — Sponsorship Opportunities

Health Services Resource Guide
Sponsorship opportunities and levels for the 2026 Area Wide Tribal Behavioral Health Conference.
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CITHHS Registration Form (Full)

Health Services Form
Full patient registration form for Cowlitz Indian Tribe Health & Human Services.
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CITHHS Registration Form (Short)

Health Services Form
Short-form patient registration for returning patients updating their information.
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Confidential Patient/Client Complaint Form

Health Services Form
Submit a confidential complaint about health services received.
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Financial Agreement for Registration

Health Services Form
Financial agreement form required during patient registration.
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Notice of Privacy Practices

Health Services Policy
Notice of privacy practices for health information under HIPAA.
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Patient Rights and Responsibilities

Health Services Policy
Statement of patient rights and responsibilities for Cowlitz health services.
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Prescryptive Member Reimbursement Form

Health Services Form
Form to request reimbursement for pharmacy expenses through Prescryptive.
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Release of Information (42 CFR TPO)

Health Services Form
Authorization for release of health information for treatment, payment, and operations.
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Release of Information (General)

Health Services Form
General authorization to release protected health information.
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2026 Aging in Place Application

Housing Application
Application for the 2026 Aging in Place program providing home modifications for elders.
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Checklist for Mortgage and Rental Assistance

Housing Resource Guide
Checklist of required documents for mortgage and rental assistance applications.
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Down Payment Assistance Application

Housing Application
Application for home purchase down payment assistance for tribal members.
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