State Agencies | Online Services
 

How to Apply for Loan Repayment Programs in Ohio

The Ohio Department of Health (ODH) can assist interested individuals to identify practice sites that qualify for Ohio's loan repayment programs.  For more information about the programs, see the Loan Repayment Programs Fact Sheet.  

Applications are not currently being accepted for these programs.  Below are links to the most recent application forms and instructions:

2016 Application Guidance and Instructions

2016 Loan Repayment Program Application

2016 Employer Agreement

2016 Practice Site Summary

IRS Form W-9

Supplier Information Form

Authorization Agreement for Direct Deposit of EFT Payments

Ohio Dentist Loan Repayment Program Scoring Criteria

Ohio Dental Hygienist Loan Repayment Program Scoring Criteria

For more information:

Ohio Department of Health
Ohio Dentist and Dental Hygienist Loan Repayment Programs
Primary Care Office
246 North High Street - 7th Floor
Columbus, Ohio  43215

Telephone: (614) 644-8496
Fax:             (614) 564-2432
E-mail:        HealthPolicy@odh.ohio.gov

 

 

Page Updated: 2/16/17