Thank you for your interest in UPMC Telemedicine services. This form is intended for UPMC and non-UPMC clinical providers interested in providing or receiving Telemedicine services.

If you are a patient with a clinical concern, please visit UPMC AnywhereCare, which provides 24/7 access to an online healthcare provider.

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Requester Information
Telemedicine Distant Site-Provider Location
Additional Information
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Are you part of the UPMC Health System? *