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Wellness Discount Form.pdf

Wellness-Discount-Form.pdf

🔗 Source: dudek-bock.com

📊 Size: 353 KB

👤 Author: michele.nelsonhousle

⬇️ Downloads: 177

Summary

Establishing a relationship with a primary care physician (PCP) is important as they will be familiar with your medical history and coordinate all aspects of your care. To receive a wellness discount, complete an annual physical exam and standard lab-test blood draw with your PCP between 1/1/2022 and 10/31/2022, and have your physician complete and sign the PHYSICIAN FORM. Submit the form by 10/31/2022 to secure a $10 per pay period discount on medical premiums starting 1/1/2023. Dudek & Bock ensures privacy protection and compliance with state and federal privacy laws.

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Description

Establishing a relationship with a primary care physician (PCP) is important as they will be familiar with your medical history and coordinate all aspects of...

Technical Information

File Format: PDF
File Size: 353 KB
Pages: 2
Language: EN
Author: michele.nelsonhousle
Total Downloads: 177
Last Updated: 1 day ago

Document Overview

This PDF document about Wellness Discount Form provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Wellness Discount Form.