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COVID-19: The Latest Information from UPMC

Common Forms For Patients

As a convenience to patients, the following links provide access to many commonly-used governmental forms. All forms are PDF files.

UPMC Forms

Pennsylvania Student and Child Forms

Pennsylvania Department of Transportation

Pennsylvania Medical Assistance

  • Health Sustaining Medication Assessment form
  • Medical Assistance Employability Assessment form

Family Medical Leave Act (FMLA)

Social Security Disability

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