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UNC CAMPUS HEALTH SERVICES INITIAL PHYSICAL FORM Name (Last, First, MI.):Date Completed: DOB:Preferred Name:Preferred Pronoun:Gender: Male Female Other (Please explain) Transgender Male to Female

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How to fill out unc campus health services

01

To fill out UNC Campus Health Services, follow these steps:

02

Visit the Campus Health website

03

Click on the 'Forms' tab

04

Select the appropriate form for the service you need

05

Fill out the form with your personal and medical information

06

Submit the completed form online or print it out and bring it to Campus Health Services

07

If required, make any necessary payments for the service

08

Attend your scheduled appointment at Campus Health Services

09

Follow any additional instructions provided by the healthcare provider

Who needs unc campus health services?

01

Any student or staff member of UNC who requires medical care or health services can utilize UNC Campus Health Services.

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What is unc campus health services?

UNC Campus Health Services is a primary care outpatient provider for students, faculty, and staff at the University of North Carolina at Chapel Hill.

Who is required to file unc campus health services?

All students, faculty, and staff at the University of North Carolina at Chapel Hill are required to utilize the services provided by UNC Campus Health Services.

How to fill out unc campus health services?

To utilize UNC Campus Health Services, individuals can schedule appointments online, through the patient portal, or by calling the clinic directly.

What is the purpose of unc campus health services?

The purpose of UNC Campus Health Services is to provide accessible and quality healthcare services to the university community.

What information must be reported on unc campus health services?

Individuals must provide their medical history, insurance information, and reason for visit when utilizing UNC Campus Health Services.

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