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.
UHA Riders Guide
Learn more about getting free rides to your appointments.
NEMT & BCB Brochure
Learn more about getting free rides to your appointments.
GMR Appointment Verification Form
Use this form to request gas mileage reimbursement for non-emergency medical transport (NEMT).
Postal Prescription – New Customer Order Form
Use this form to sign up for medication by mail.
Postal Prescription – Quick Reference Guide
Review this guide to find tips and answers to questions for medication by mail.
Machine-Readable Formulary
UHA Comprehensive Formulary
This booklet is your list of the drugs that are covered by your plan.