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OSU JET HEALTH & WELLNESS CENTER TRAVEL PATIENT QUESTIONNAIRE Please fill out this form and bring it with you to your Travel appointment. Name: Date of birth: Gender: Male FemaleTransgender FTM Transgender
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To fill out the OHSU JBT Health Amp form, follow these steps:
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Start by obtaining the form from the OHSU website or the relevant department.
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OHSU JBT Health AMP is a form used to report health information for employees of Oregon Health & Science University who are enrolled in the JBT Health Plan.
Employees of Oregon Health & Science University who are enrolled in the JBT Health Plan are required to file the OHSU JBT Health AMP form.
The OHSU JBT Health AMP form can be filled out online or in paper form. Employees need to provide their personal and health information accurately.
The purpose of OHSU JBT Health AMP is to collect and report health information of employees enrolled in the JBT Health Plan for administrative purposes.
Employees need to report their personal information such as name, address, and contact information, as well as their health information like medical history, doctor's visits, and prescriptions.
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