Do you need help getting to your Oregon Health Plan-covered appointments? Free Rides for Members
Willamette Valley Community Health last day is December 31, 2019. Please see your new CCO information for free rides to care and to the pharmacy if they have no other way to get there.
Willamette Valley Community Health can also help with mileage reimbursement. If you will be using mileage reimbursement call LogistiCare before your OHP-covered appointment to get a trip number and travel voucher.
Downloadable Forms and Instructions:
|Mileage Reimbursement Instructions||Download|
|Medical Mileage Payment Request Form||Download|
|OR Standing Order Form||Download|
|Spanish Mileage Reimbursement Instructions (Instrucciones de Reembolso de Kilometraje Español)||Download|
|Spanish Mileage Reimbursement Form (Formulario de Reembolso de Kilometraje Español)||Download|
|Health Care Certification Form||Download|