Miembros de Umpqua Health

Documentos y formularios

Si no encuentra lo que busca, nuestro equipo de atención al cliente puede ayudarle.

Notice of Privacy Practices

Notice of Privacy Practices describing how medical information may be used and disclosed, member privacy rights, and how to obtain additional information or assistance.

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

CMS resource guide supporting health plan payers in educating members about patient privacy, data security, and rights under the Interoperability and Patient Access Final Rule.

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.

UHA Riders Guide

Learn more about getting free rides to your appointments.

NEMT & BCB Brochure

Learn more about getting free rides to your appointments.