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PGH Global is now a UnitedHealthcare Company


Standard form to provide notice of medical/prescription claim and/or provide details on requests for additional information.

This form allows an insured to provide specific instructions to UnitedHealthcare Student Resources International for use or disclosure of protected health information for a particular purpose.

This document allows an insured to appoint a personal representative to act on their behalf in the matters of health insurance with UnitedHealthcare Student Resources International.