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Get Cigna Wellness Screening Form

WELLNESS SCREENING FORM. "Cigna," is registered service mark and the " Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc., licensed for .

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How to fill out the Cigna Wellness Screening Form online

Completing the Cigna Wellness Screening Form accurately is essential for reporting your wellness screening results. This guide provides step-by-step instructions to help you navigate the form easily and ensure all necessary information is provided.

Follow the steps to complete the Cigna Wellness Screening Form online.

  1. Click ‘Get Form’ button to access the Cigna Wellness Screening Form and open it for editing.
  2. Begin with the Patient Information Section. Fill in all requested details such as your name, relationship status, contact information, and Cigna account number.
  3. Provide the last four digits of your Social Security Number for the person being screened, as well as their date of birth and today's date.
  4. In the Health Measurement Section, your physician or licensed medical professional will fill in their findings related to blood pressure, fasting blood sugar, cholesterol levels, and body mass index (BMI). Ensure that the physician signs the form as required.
  5. Next, review all the entered information to confirm accuracy. Make any necessary corrections to ensure everything is complete.
  6. Finally, save the changes made to the form. You may choose to download, print, or share the completed form as required.

Complete your Cigna Wellness Screening Form online today to ensure your wellness screening results are reported accurately.

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We could all use a little nudge when it comes to improving our health. That's why our incentive program is designed to support and reward you — with up to $800 in your paycheck — when you take key steps to be healthy. Invite the family! Your covered spouse/domestic partner can earn incentives, too — up to $500.

The following services are excluded from coverage regardless of clinical indications; â–ª Macromastia or Gynecomastia Surgeries; â–ª Surgical treatment of varicose veins; â–ª â–ª Rhinoplasty; â–ª Blepharoplasty; â–ª Redundant skin surgery; â–ª Removal of skin tags; â–ª Acupressure; â–ª Craniosacral/cranial therapy; â–ª Dance therapy, ...

Call Cigna at the number on the back of your ID card, or. Check .mycigna.com , under "View Medical Benefit Details"

Biometric results must include: blood pressure, total cholesterol and height/weight or BMI. All results are confidential. Fill out the Patient Information Section and sign.

Where can I upload my wellness screening form Cigna? Forms can be submitted online at mycigna.com. Log in to mycigna.com, select Incentive Awards Program, and look to the right side of the page for electronic upload feature.

If you have any questions regarding leave administration or specific leave information, contact your Cigna Leave Manager at 888.84. Cigna (888.842. 4462).

An online Wellness Assessment is a survey that asks questions about your biometric numbers, current. health condition, diet, lifestyle, health goals, sleep patterns and more.

Our wellness screening options collect important employee health metrics and lab values including body mass index, waist circumference, blood pressure, cholesterol, glucose, A1c, triglycerides, cotinine and more.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232