Wellness begins with understanding. This checklist helps you have a clearer picture of your health. It also starts the conversation with your doctor on any changes you might need, whether it’s around exercise, diet, adjusting your medications or simply more socializing.
Please take a few minutes to download (by clicking the blue button above) this checklist, fill it out and bring it along to your yearly checkup.
Updated 12/31/2018
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Hello, At this time it is not possible to complete this form electronically. You will need to print the form to fill it out. ~ Kayla
I have already been seen by my doctor and have completely most everything. Can I fill it out online or do I have to mail the paper?