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Fax to: Claims 1.800.880.9325 From: No# of pages: Or Mail to: P.O. Box 100195 Columbia SC 29202 3195 Health/Wellness Screening Claim Form Fax this direction. If your name has changed, please attach
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It is a document used for health screening purposes.
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The purpose of wellnesshealthscreening ver 970067newdoc is to gather health-related information about individuals.
Information such as medical history, current medications, and lifestyle habits must be reported on wellnesshealthscreening ver 970067newdoc.
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