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Coach Center for Health and Wellness 21 Belmont Avenue, Northampton, MA 01063 Tel: (413) 5852250 Fax: (413) 5854639AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION I hereby authorize the Coach Center
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Schacht Center for Health is a health center located on the campus of Muhlenberg College.
All students, faculty, and staff who utilize the services of Schacht Center for Health may be required to file certain health forms.
To fill out forms for Schacht Center for Health, individuals can visit their website or visit the center in person for assistance.
The purpose of Schacht Center for Health is to provide healthcare services and support to the Muhlenberg College community.
Information such as medical history, insurance information, and emergency contacts may need to be reported on Schacht Center for Health forms.
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