Umpqua Health Providers

Documents & Forms

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

UHA Comprehensive Formulary

Umpqua Health Alliance Formulary (Preferred Drug List) provides information on covered medications, coverage rules, and formulary status to help members and providers make informed pharmacy decisions.

Informed Consent Form – Consent to Sterilization for Members 15 – 20

Informed Consent Form – Consent to Sterilization for Members 15 – 20 (Spanish)

Informed Consent Form – Consent to Sterilization for Members 21+ (Spanish)

Informed Consent Form – Consent to Sterilization for Members 21+

Informed Consent Form – Hysterectomy Consent (Spanish)

Informed Consent Form – Hysterectomy Consent

Provider Guidance -Hepatitis C

Provider Guidance -Biosimilar FAQs

Provider Guidance – Asthma and COPD

Prior Authorization Grid – Behavioral Health (MH/SUD)