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CONFIDENTIAL MANDATORY HEALTH FORM Mail this form to: UP Health Center 216 Chambers Hall 150 Final Drive Greensburg, PA 15601 UNIVERSITY HEALTH CENTER UNIVERSITY OF PITTSBURGH AT GREENSBURG Last Name
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How to fill out UPG Health Center:

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Visit the UPG Health Center website or go to their physical location.
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Provide your personal information, such as your name, date of birth, and contact details.
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Complete any medical history forms or questionnaires. Be thorough and accurate in your responses.
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If applicable, fill out insurance information, including your insurance provider and policy number.
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Specify the reason for your visit or any specific medical concerns you have.
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Schedule an appointment or indicate your preferred date and time for a visit, if applicable.
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Submit the completed form online or hand it in personally at the UPG Health Center.

Who needs UPG Health Center:

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Individuals seeking medical care or treatment from qualified healthcare professionals.
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