I Speak Languages Card
HRS Flex Assistance Request Form
Use this form to submit a request for assistance through the HRS Flex services program.
Notice of Privacy Practices
NOTICE OF PRIVACY PRACTICES. This notice explains how your medical information may be used and shared and how you can access your information. Please review it carefully.
Members Handbook – Machine Readable
This is the machine-readable version of the 2026 Member Handbook.
Appeals and Hearings Flowchart
Learn more about the process we follow for appeals and hearings.
Community Advisory Council Application
Use this form to apply to be a member of our Community Advisory Council.
Patient Privacy and Security Resources – Supporting Payers Educating their Patients
Health Risk Assessment (HRA) – Spanish
La HRA se utiliza para ayudarnos a comprender sus necesidades como miembro de Umpqua Health.
Health Risk Assessment (HRA)
The HRA is used to help us understand your needs as an Umpqua Health member.
GMR Appointment Verification Form – Spanish
Utilice este formulario para solicitar el reembolso del kilometraje de combustible para el transporte médico no urgente (NEMT).
NEMT & BCB Brochure – Spanish
Obtenga más información sobre cómo obtener viajes gratuitos a sus citas.
UHA Riders Guide – Spanish
Obtenga más información sobre cómo obtener viajes gratuitos a sus citas.