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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.
To download the checklist, click the image below. You can then fill it out and bring it along to your yearly checkup.
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?
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Last Updated 10012018Y0096_WEB_IL_CONNECT19_C