Member Forms

Documents for Willamette Valley Community Health members. You may be able to fill some of these forms on your computer, then print, sign (if necessary) and submit via instructions on the form. Here you’ll find the most commonly used documents in Adobe .pdf format (unless otherwise noted).

About PDFs: You can save a blank version of the form. We recommend printing a copy for the agency and one for your records. To view PDF documents you need Adobe Acrobat Reader, provided free from

Downloadable PDFs

Adult Crisis Prevention PlanDeclaration for Mental Health TreatmentYouth Crisis Prevention Plan