Mercy Flights Membership – Group Coordinator Resource Page
Welcome, group coordinators! We are grateful for your loyalty and the value you place in the Mercy Flights Membership Program. Your partnership helps us continue providing high-quality, integrated mobile healthcare to communities across southern Oregon and northern California.
Mercy Flights is proud to offer combined group memberships that include both air and ground ambulance coverage at a discounted rate, providing extra peace of mind for your team. This page serves as your central resource for coordinating Mercy Flights memberships for your group. Please use the downloadable materials provided below, they are designed to support your efforts with both onboarding new members and managing renewals.
Important Update: There is now a $5 fee for reprinting membership cards.
Downloadable Resources and How to Use Them
1. Membership Information Form
Use this form to create a complete roster of individuals enrolled in your group’s Mercy Flights Membership Program.
- This must be submitted to Mercy Flights before your group can be renewed.
- Accurate and complete information ensures proper enrollment.
- Tip for Coordinators: Save a copy for next year so you can easily update by adding or removing members.
2. Member Information Update Form
This form is for current members only who need to update their details (e.g., address, dependents, etc.).
- Can be used throughout the year to keep your group’s information up to date.
3. Combined Enrollment Application
This application is required for all new members joining the group.
- Each new member must complete this form individually.
- Do not add new members directly to the Membership Information or Update Forms.
- This application includes required information and consent to Mercy Flights’ Terms of Agreement.
4. $75 Combined Group Prorate Sheet
Use this Excel spreadsheet to calculate membership fees for new members joining outside your regular renewal cycle.
- Click on the appropriate month tab to find the correct prorated amount.
5. Combined QR Code
This is for use during open enrollment if you’re offering electronic applications.
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- New members applying through this QR code must select your business name under the “Organization” field.
- If they submit an electronic form via the QR code, they do not need to complete a paper Combined Enrollment Application—one method is sufficient.
