Human Resources

New Employee Downloadable Forms

Click the button below each form to dowload it.

UPMC GoHealth Authorization For Physical & TB Test

UPMC GoHealth Locations

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

Please download the paperwork needed to complete your TB and physical.

You must bring both forms with you. 

UPMC GoHealth Authorization For Physical & Chest Xray

UPMC GoHealth Locations

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

Please download the paperwork needed to complete your TB and physical.

You must bring both forms with you. 

Penn Highlands Q-care Brookville  

Q Care Walkin Clinics

88 Hospital Rd – 1st Floor 
Brookville, PA 15825 

Mon - Fri 9a – 6p 
Closed Saturday & Sunday & Holidays

(814) 849-1874 to schedule appointment

Please download the Summation Letter needed to complete your TB and physical.

You must bring forms with you. 

UPMC GoHealth Authorization For Physical & QuantiFERON

UPMC GoHealth Locations

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

Please download the paperwork needed to complete your TB and physical.

You must bring both forms with you. 

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

Click below for the authorization form.

You must bring both forms with you. 

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