Umpqua Health Members

Documents & Forms

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

Connect with Food Hero – Spanish

Patient Coordination of Benefits Intake Form

Maternity Guide

Helpful information for you and your baby.

Maternity Guide – Spanish Version

Información útil para usted y su bebé.

Early and Periodic Screening, Diagnosis and Treatment

Learn more about the EPSDT program for all OHP members age 0-21.

Early and Periodic Screening, Diagnosis and Treatment – Spanish Version

Obtenga más información sobre el programa EPSDT para todos los miembros del OHP de 0 a 21 años.

2025 Recommended Immunizations for Children 7-18yrs

Learn more about recommended vaccines for children age 7-18.

2025 Recommended Immunizations for Adults Aged 19+

Learn more about recommended vaccines for adults over 19.

2025 Recommended Immunizations for 0-6yrs

Learn more about recommended vaccines for children age 0-6.

Healthy Start Gift Card Program 0-6