Get Medical Exception Form - Scotts Miracle-gro 2020-2025

The Medical Exception Form allows individuals enrolled in the Scotts Wellness Incentive Program to request modifications to health targets based on medical conditions. This guide provides step-by-step instructions to assist you in accurately completing the form online.

Follow the steps to complete the Medical Exception Form online.

1. Press the ‘Get Form’ button to access the Medical Exception Form and open it in the provided editor.
2. Complete the first section as an associate or spouse, providing your first name, last name, street address, and date of birth. Select your gender, indicate your phone number, office location, employee ID, and email address for confirmation of receipt.
3. In the authorization section, you must agree to the release of your identifiable health information. Sign and date this section to authorize US Wellness to contact you regarding health matters related to this form.
4. Have your physician complete the designated section. They will indicate if it is unreasonably difficult or medically inadvisable for you to meet the required health targets. The physician should also set an alternative standard for you, if applicable.
5. After the physician has filled in the form, you (or your healthcare provider) should scan and upload the completed form through the designated platform or fax it to the listed number. Ensure to include your email for confirmation of receipt.
6. Confirm that you have completed all sections and that the information is accurate before finalizing your submission. You will receive a confirmation email within two business days.

Take action now and complete your Medical Exception Form online to ensure your wellness incentive points are accurately adjusted.