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You will need to log in to a MyUPMC account in order to complete this AnywhereCare request form. Although you can register online for the account while completing this form, we recommend registering first. That way, if you have any problems, you can get them fixed before the problems interfere with your completion of the AnywhereCare request. Register online now.

If you are ready to start your AnywhereCare visit, please answer the following questions. You’ll be charged a copayment for your visit. The amount of the copay will depend on your health insurance coverage. After your request is received, a care provider will follow up with you via secure messaging with or without video.

To start your AnywhereCare visit, please answer the following questions. You’ll be charged a copayment for your visit. The amount of the copay will depend on your health insurance coverage.

After your request is received, a care provider will follow up with you via secure messaging with or without video.

Please answer the required questions.
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