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2015 Wellness Rewards Program Wellness Activity Verification Form February 1 April 30, 2015, Employee Name (Please Print): DH Employee ID: (First name MI. Last Name) Health Plans Member ID (if applicable):
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How to fill out dartmouth-hitchcock 2015 wellness activity

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How to fill out dartmouth-hitchcock 2015 wellness activity:

01
Visit the Dartmouth-Hitchcock website or contact your employer's wellness program administrator for the official form.
02
Carefully read the instructions provided on the form to understand the requirements and guidelines for completing the wellness activity.
03
Fill out your personal information accurately, including your name, employee ID, and contact details.
04
Review the different wellness activities listed on the form and choose the ones that you have completed or plan to complete.
05
For each selected wellness activity, follow the instructions provided to provide the necessary details or evidence of completion.
06
It's important to provide truthful information and any required documentation, such as receipts, participation certificates, or completion dates.
07
If there are sections where additional comments or explanations are required, make sure to provide clear and concise responses.
08
Double-check your completed form for any errors or missing information before submitting it.
09
Submit the filled-out form as instructed, either electronically or by mailing it to the designated address by the specified deadline.

Who needs Dartmouth-Hitchcock 2015 wellness activity?

01
Employees of Dartmouth-Hitchcock Medical Center and its affiliated organizations who are eligible for the wellness program.
02
Individuals participating in a wellness program offered by an employer that partners with Dartmouth-Hitchcock for their wellness initiatives.
03
Those seeking to improve their health and well-being by actively engaging in various wellness activities and tracking their progress.
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