Forms for other benefits
The UFT Member Awareness Program provides this medication question guide form for you convenience when you visit your doctor. The form enables you to list all your medications, with dosage and frequency for easy review.
This form, provided by the UFT’s Member Awareness Program can help you be sure to cover all necessary topics when you visit your doctor.
This form is for retired members who have elected a non-New York City optional rider for health insurance or prescription plan, or are covered under their spouse’s/domestic partner’s non-NYC health plan.