A qualified medical professional — such as a Medical doctor (MD), Doctor of Osteopathy (DO), Physician Assistant (PA) or Nurse Practitioner (NP) — will need to complete a Medical Certificate Form that includes a short description of the equipment used in the home. 

Medical Certificate Application Printable Version | En español

Please mail or fax the completed application to:

Pacific Power
Attention: Medical Certificates
PO Box 400
Portland, Oregon 97207-0400

Fax Number:

Attention: Medical Certificates
1-877-283-7697

We offer an assistance program for residential customers in California who may have additional energy needs related to qualifying medical conditions, known as the Medical Baseline program. Qualifying residential customers receive an increase in the baseline allowance at the lower rate on their monthly energy bill.

To qualify, the above Medical Certificate must be completed by a qualified medical professional certifying that a member of the household is using medical equipment on a regular basis required to maintain life or has a medical condition that would be adversely affected if electric service is disconnected. The Medical Baseline program does not guarantee that power will not be interrupted from a weather-related outage, other circumstances outside of our control, or service disconnection for bill nonpayment.