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WellPath Resources: Popular forms and facts for WellPathians


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Participation Information:

Exercise/Fitness Participation (EFP)
Health Enhancement Goals (HEGs)

​Nominate an event for WellPath endorsement:

Event nomination form

Usage Guidelines and liability waiver for 3rd Floor Fitness & Salt River Fitness Center 
Usage Guidelines Liability Waiver

WellPath Referral Card (refer family members and employees to participate in an event or program.

Referral Card
Picture

Orientation Verification Form: sign and return after viewing the WellPath Orientation. 

Orientation Verification Form

Know Your Numbers (KYN):

Have your physician or healthcare provider sign this form and send it to wellness@srpmic-nsn.gov
wellpath_know_your_numbers_verification_form_2018.pdf
File Size: 651 kb
File Type: pdf
Download File


know_your_numbers_-_what_to_expect
File Size: 342 kb
File Type: pdf
Download File


Completing your Personal Wellness Assessment (PWA) 
The ABCs are changing in the 1st quarter of 2021. Stay tuned for more information. 

Trending Your Personal Wellness Assessment (compare this year's assessment with past year's assessment: Are you improving your health from year to year?)

The ABCs are changing in the 1st quarter of 2021. Stay tuned for more information. ​


Documentation of a Preventive Practice (simple evidence to upload through MyWellPath)

Have your physician or healthcare provider sign this form and then upload it as simple evidence through your MYWellPath account. 
Documentation of Preventive Practice
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