Human Resources

Current Employee Downloadable Forms

Click the button below each form to dowload it.

UPMC GoHealth Authorization & Summation Forms

UPMC GoHealth Locations

Click the link to find a location near you and schedule an appointment or walk in.

Please click below for the authorization form and summation letter.

You must bring both forms with you. 

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WellNow Physical & TB Auth

WellNow Occupational Medicine

You must call to make an appointment.

655 E DuBois Ave
DuBois PA 15801
814-913-3097
Hours: Mon - Sun 8a-8p

Please click below for the authorization form.

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