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  • Instructions For The Physician Results Report Form To Earn The Pebtf S Get Healthy Contribution

Get Instructions For The Physician Results Report Form To Earn The Pebtf S Get Healthy Contribution

Instructions for the Physician Results Report Form This form is used only if you prefer to have your doctor complete your wellness screening. Do not use this form if you choose to attend an onsite.

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How to fill out the Instructions For The Physician Results Report Form To Earn The PEBTF S Get Healthy Contribution online

Filling out the Instructions For The Physician Results Report Form is an important step to ensure you earn the PEBTF's Get Healthy contribution. This guide will walk you through the process of completing the form online with clear, step-by-step instructions.

Follow the steps to complete the form effectively.

  1. Click the ‘Get Form’ button to obtain the form and open it in your chosen document editor.
  2. Complete the ‘Participant Information’ section by entering your name, social security number, email address, date of birth, phone number, and address.
  3. After filling out the participant information, print the completed form and take it with you to your physician.
  4. Ask your physician to complete the necessary fields including testing dates, biometric screening measurements, and their signature.
  5. Have your physician fax the completed form to the confidential Quest Diagnostics fax number provided on the form, ensuring it is sent by the submission deadline.
  6. Allow up to two weeks for your data to be entered into the Blueprint for Wellness site, after which you can view your results online.
  7. Maintaining a copy of the fax confirmation sheet and the completed form is advised for your records.

Act now to complete your form and ensure your participation in the Get Healthy program.

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A wellness screening is a group of ultrasound screenings that take images of your internal arteries. A wellness screening consists of the following tests: Carotid Artery Screen: Screening of the carotid arteries is achieved with non-invasive ultrasound. The carotid arteries are found on each side of the neck.

In general, biometric screenings include a blood test for lipid and glucose measures (like total cholesterol and glucose), but can also include more advanced clinical measures. Biometric measurements refer to height, weight, calculated Body Mass Index, blood pressure, and/or waist/hip circumference.

As part of workplace wellness programs, many organizations offer wellness screenings to their employees to help them assess where they are in their wellness journey. These may include health risk assessments, biometric screenings, mental health screenings or other screenings.

The Pennsylvania Employees Benefit Trust Fund offers, free of charge, confidential wellness screenings that give you valuable information about your health and health risks. After the screening you may visit your doctor to discuss your results and set goals for better health.

The Wellness Screening is an important first step that can help you become more aware of and knowledgeable about key health indicators, such as blood pressure, cholesterol, glucose, and weight. It is recommended that everyone completes screenings regularly (how often depends upon your age).

Review your blood pressure, heart rate, height, weight and body mass index (BMI). Review your current health problems, as well as your medical, surgical, family and social histories. Review your current medications. Conduct a health risk assessment.

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Get Instructions For The Physician Results Report Form To Earn The PEBTF S Get Healthy Contribution
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© Copyright 1997-2025
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
airSlate WorkFlow
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232