The Oregon State Board of Nursing (OSBN) will investigate complaints and reports from the employer, patients, licensed health professionals or others about your behavior. If the investigation includes a determination by a qualified third party evaluator that you are diagnosed with a substance use or mental health disorder, then you may qualify for enrollment in the Health Professionals’ Services Program (HPSP) for monitoring.

If you enroll in the HPSP following the investigation and referral by OSBN, then the details of your situation remain confidential and not part of the public record.

If, however, you do not comply with the OSBN referral to enroll in HPSP, or otherwise fail to complete the program after you enroll, then OSBN may take disciplinary action and your violation will become part of the public record. Disciplinary action can include practice limitations, suspension or revocation of your license to practice in Oregon.

In the case that you have not violated a safety policy and have not violated any other term of the Nurse Practice Act,, you will not be reported to the licensing board. However, in this case you, if a clinical evaluation refers you to treatment for a substance use or mental health disorder, you are required to acknowledge this treatment referral the next time you relicense with OSBN.

OSBN may investigate at the time they receive this form, and after investigation may refer you to HPSP for monitoring.

Finally, “self referral” to HPSP following a clinical evaluation and referral offers unique protections to you. When a licensee is not already known to OSBN and chooses to enroll in the HPSP as a “self referral,” then OSBN will not learn about your participation in monitoring as long as you remain compliant with the monitoring agreement. Be cautioned: Substantial non-compliance with your monitoring agreement will be reported to OSBN, so there is risk.

For more information, you can contact the Health Professionals’ Services Program’s confidential help line at 888-802-2843. You do not have to disclose your identity when you call for information.

Or, download the OSBN administrative rules for monitoring (PDF)


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