Human Resources
Current Employee Downloadable Forms
Click the button below each form to dowload it.
UPMC GoHealth Authorization & Summation Forms
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.
WellNow Physical &
TB Authorization
Call to make an appointment.
814-913-3097
655 E DuBois Ave
DuBois PA 15801
814-913-3097
Hours: Mon - Sun 8a-8p
Click below for the authorization form.
Penn Highlands QCare Brookville Form
Call to make an appointment.
814-849-1874
Brookville Medical Office Building
88 Hospital Rd., 1st Floor
Brookville, PA 15825
Hours: Mon- Fri 9a – 6p
Click below for the authorization form.
