Get Stsig Wellness Incentive Tracker For Activities From November 1, 2016 To October 31, 2017

The STSIG Wellness Incentive Tracker is a key document for individuals participating in wellness activities to track their incentives. This guide provides clear, step-by-step instructions on how to effectively fill out this form online.

Follow the steps to complete your STSIG Wellness Incentive Tracker accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your employee name in the designated field, ensuring it is printed clearly for validation.
3. Indicate whether you are completing the employee incentive form or the spouse incentive form by checking the appropriate box.
4. If applicable, enter the spouse's name in the provided space. Remember that spouses must use a separate form for their incentive activities.
5. Fill in the district name in the relevant field to identify your organization.
6. In the wellness exam/BMI section, do not attach documents containing personal health information. Complete the fields as necessary.
7. Provide the physician's name and contact information, including address and phone number, as required.
8. Mark the activities you have completed, such as obtaining a flu shot, attending a health fair, or completing wellness checks like a mammogram or colonoscopy.
9. For each activity, ensure to have the health care provider's signature where indicated, confirming your participation.
10. Once all relevant sections have been completed, review your entries for accuracy. Make sure all required signatures are present.
11. You may submit this form once you have completed any or all of the listed incentives. Alternatively, you can wait to submit it when all required activities are met.
12. Finally, save changes to the document, then download, print, or share the form as needed, adhering to the submission instructions provided (email or fax) before the deadline.

Complete your STSIG Wellness Incentive Tracker online today to ensure your wellness activities are recognized.