Umpqua Health Providers

Documents & Forms

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

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

UHA Comprehensive Formulary

This booklet is your list of the drugs that are covered by your plan.

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