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Thank you for being a loyal member of the Mercy Flights membership program. We strive to provide exceptional integrated mobile healthcare to our neighbors in Southern Oregon and Northern California, at an affordable rate.

Mercy Flights is excited that you are taking advantage of our group rate, providing additional coverage and peace of mind for your team. If your organization is filling out paper applications for new or renewing members, please fill out the application and roster attached below.  Each member and dependent needs to be added to the roster (in addition to their paper application) before returning to the Mercy Flights membership team. If you would like to fill out an online application, please use the link provided below, or the QR code attached to share with your group. Please note that on the online application, the group name is required in order to sign up.  

We appreciate your support as we continue to provide our neighbors with the best healthcare in the industry.

If you have any questions, please reach out to our membership team.

We appreciate your support,

Mercy Flights Membership Team

April
aprilb@mercyflights.com
541-217-2545

Cariann
carianng@mercyflights.com
541-858-2646

Oregon Air Group Application Form

Fields marked with an * are required
Please complete the form below so we can process your membership. Note: Individual names and dates of birth are required for your membership to be valid.
Membership Type *
Date of Birth *
Additional Member 1
Date of Birth *

Billing Information

Processing Fee (optional)
Donating a processing fee of 5% insures the full amount goes towards Mercy Flights Inc.

Total: $70.00

Payment Information

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