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ALLIED HEALTH GENERAL APPLICATION FOR CLASSMATE PROFESSIONAL LIABILITY INSURANCE 1. Name of Applicant: 2. Mailing Address: 3. Location Address: (If multiple name and locations, please attach list)

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Who needs general allied health 01-14:

1. Individuals pursuing a career in allied health: General allied health 01-14 may be required for individuals who are pursuing a career in the allied health field. This form could serve as an application or registration form for specific programs, courses, or certifications related to allied health professions.
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