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Nurse Hotline

888-516-6166

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Umpqua Health Members

Documents & Forms

If you can’t find what you’re looking for below, our Customer Care team can help.

Release of Information

This is a form for members to authorize the release of information.

Housecall Providers Palliative Care handout

Advanced Illness Care Referral Form

Professionally Administered Drug (PAD) Grid

Postpartum Check-Up Flyer – Spanish

Postpartum Check-Up Flyer – English

Member Benefits Summary Flyer – Spanish

Conozca los servicios para miembros disponibles sin costo.

Member Benefits Summary Flyer

Learn about the member services available at no cost.