Loading
Get Cigna Wellness Screening Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
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.
- Click ‘Get Form’ button to access the Cigna Wellness Screening Form and open it for editing.
- Begin with the Patient Information Section. Fill in all requested details such as your name, relationship status, contact information, and Cigna account number.
- 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.
- 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.
- Next, review all the entered information to confirm accuracy. Make any necessary corrections to ensure everything is complete.
- 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.
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.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.