Get 2017 Physician Form - Granite School District - Graniteschools

This guide provides a clear and supportive approach to filling out the 2017 Physician Form for the Granite School District. By following these steps, you will ensure that your preventative care exam is properly documented and submitted online.

Follow the steps to complete the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it for completion. Ensure you have the correct document before proceeding.
2. Begin by filling in your personal information, including your name, employee ID number, and email address. This information is vital for identification purposes.
3. Specify your school or department as required on the form. This helps associate your preventative care exam with the correct entity within the Granite School District.
4. Provide the date of your physician visit. Ensure that this date falls between January 1, 2017, and December 31, 2017, to be eligible.
5. Input your physician's name, phone number, and have them sign the form to validate your visit. Make sure the signature is dated accordingly.
6. Submit the completed Physician Form to the Benefit Department by faxing it to (385-646-4319) or emailing it to benefits@graniteschools.org before the deadline of December 31, 2017.
7. After submission, you are encouraged to complete the Personal Health Assessment (PHA) online. Use the provided access code MSGSD114 and ensure to finish before the December 31, 2017 deadline.
8. Confirm that you have completed the Bioscreening and PHA within the given timeframe to avoid additional fees for your medical insurance.
9. Once all steps are completed, save changes to the form and ensure you have the required copies for your records. You may also choose to download or print the completed form.

Take action now by filling out the required documents online to ensure your preventative care is recognized.