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Texas Tech University Health Sciences Center Ambulatory ClinicsPatient Label (Name, DOB, MAN)Consent to Treatment/Health Care Agreement CONSENT TO TREATMENT: I voluntarily consent to receive medical

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To fill out Texas Tech University Health form, follow these steps:

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Texas Tech University Health is needed by students, faculty, staff, and anyone associated with Texas Tech University who requires access to health services, medical care, or health insurance offered by the university.

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Texas Tech University Health Sciences Center is a health sciences university in Texas, specializing in healthcare education, research, and patient care.

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Faculty, staff, and students of Texas Tech University Health Sciences Center are required to report information on their health status.

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Individuals can fill out the Texas Tech University Health form online by providing accurate information about their current health status.

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The purpose of the Texas Tech University Health form is to ensure the health and safety of the university community by monitoring the health status of individuals.

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Individuals must report any symptoms, travel history, close contact with COVID-19 cases, and any other relevant health information.

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