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Prescription Drug Claim Form P72 University of Washington Graduate Appointee Insurance Program Underwritten by LifeWise Assurance Company UW HEALTH CLAIMS P. O. Box 2272 Seattle WA 98111-2272 800 258-0394 or 425 918-457 Graduate Appointee Name Social Security No* UW Student ID No* Patient Name Patient s Relationship to Graduate Appointee Is the patient covered under another medical health care plan Yes No If yes please provide the following information Date other coverage began Date coverage...

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What is lifewise uw?

LifeWise UW is a form that needs to be filled out by individuals to report their wellbeing status and important life events.

Who is required to file lifewise uw?

All individuals who are members of the LifeWise program are required to file LifeWise UW.

How to fill out lifewise uw?

To fill out LifeWise UW, individuals need to access the online portal provided by LifeWise and follow the instructions provided. The form includes sections for personal information, wellbeing status, and life events.

What is the purpose of lifewise uw?

The purpose of LifeWise UW is to gather information about individuals' wellbeing status and important life events, which helps LifeWise in understanding their members' needs and providing appropriate support and resources.

What information must be reported on lifewise uw?

On LifeWise UW, individuals are required to report information such as their current physical and mental health status, significant life events (births, marriages, etc.), and any changes in their personal or financial situation.

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