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UC Health, University Health Services Registration Form
Student: Please fill out all 8 sections of this form in its entirety.
Please be prepared to present your insurance card (or copy of your insurance
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UC Health University Health is a network of hospitals, physicians, and health services in the Cincinnati area.
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Staff, healthcare providers, and administrators affiliated with UC Health are required to file UC Health University Health forms.
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UC Health University Health forms can be filled out online or in person, and require detailed information about healthcare services provided.
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The purpose of UC Health University Health forms is to track and report on healthcare services provided by the network.
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Information such as patient demographics, services provided, and outcomes must be reported on UC Health University Health forms.
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