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Umpqua Health Providers

Documents & Forms

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

Prior Authorization Grid – Imaging

DME Vendor Grid

A list of DME vendors contracted with Umpqua Health.

Prior Authorization Grid – DME

Prior Authorization – Overview

Prior Authorization Grid – Therapies

Behavioral Health Prior Authorization Provider FAQ

Find answers to frequently asked questions about behavioral health PAs.

Medical, Behavioral and SUD Prior Authorization Form

Medication Management Referral Form

Hepatitis C Prior Authorization Form

Pharmacy Prior Authorization Form

Medication Prior Authorization Form