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UT-Houston Medical School Health Service 6410 Fannie Suite 510 Phone: (713) 500-5171 Fax: (713) 500-0605 CERTIFICATION OF IMMUNIZATION Please return this form to UT-Houston Medical School Health Service
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UT-Houston medical school health is a program that provides healthcare services to students, faculty, and staff at the University of Texas Health Science Center at Houston.
All students, faculty, and staff at the University of Texas Health Science Center at Houston are required to participate in the UT-Houston medical school health program.
To fill out the UT-Houston medical school health form, individuals must provide their personal and medical information, including insurance information and any pre-existing conditions.
The purpose of UT-Houston medical school health is to ensure that students, faculty, and staff have access to healthcare services and resources while studying or working at the University of Texas Health Science Center at Houston.
Information such as personal and medical details, insurance information, pre-existing conditions, and any medications being taken must be reported on the UT-Houston medical school health form.
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