BEHAVIORAL HEALTH
Behavioral Health
Umpqua Health Alliance (UHA) is committed to supporting our members with Intensive Care Coordination by utilizing all available resources to improve their physical health and mental well-being. In addition, UHA covers Behavioral Health Services for all members and are designed to empower members to live, work, and thrive in their communities.
Forms
- Behavioral Health Referral Matrix
- Case Manager Referral Form
- Hepatitis C Case Management Referral Form
- Health Related Services Form | (Spanish)
- Coordination of Benefits Intake Form
- Adapt Wraparound Referral Form
- Wraparound Program Brochure
- New Day – Pregnant Mom Program Flier
- New Day Program Referral Form
- New Beginnings – Age 0 to 5 Program Flier
- Barrier Submission Form
- Barrier Submission Form Process
- Psychological Evaluation Request Form
- Support and Success Funding Application | W9
- Application for Certification Training in Disordered Eating
- Certificate of Need
Contact Us
If you have any questions about referrals to Behavioral Health services, please contact us at BehavioralHealth@Umpquahealth.com or casemanagement@umpquahealth.com.
