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PASSPORT TO WELLNESS By Dr. William Gin gold Cynthia German, MBA, LNA, CPP Department of Family Medicine University of Illinois at UrbanaChampaign Urbana, IL 61801 Tel: (217× 3374781 FAX: (217×
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How to fill out passport to wellness:

01
Start by providing your personal information, including your name, date of birth, and contact details. This will help the wellness program identify and communicate with you effectively.
02
Next, indicate your current health status by answering questions about your medical history, any existing conditions, and any medications you may be taking. This information will help tailor the program to your specific needs.
03
Move on to filling out the wellness goals section. Here, you can outline what you hope to achieve through the wellness program, whether it's managing stress, losing weight, improving fitness, or any other health-related goals you have in mind.
04
You may be asked to provide details about your eating habits and exercise routine. This will help the wellness program determine areas where you can make positive changes and provide suggestions or resources to support you in these areas.
05
If applicable, indicate any financial incentives or rewards you would like to receive for reaching your wellness goals. Some programs offer incentives to encourage participation and motivate individuals to make healthier choices.
06
Lastly, review the passport to wellness form to ensure you have filled out all the necessary sections. Double-check for any errors or missing information. Make sure to sign and date the form before submitting it to the designated party.

Who needs passport to wellness?

01
Individuals who are looking to improve their overall well-being and achieve specific health goals can benefit from having a passport to wellness.
02
Employers often provide passports to wellness as part of their workplace wellness programs. Employees who wish to participate in these programs may need to fill out a passport to access the program's benefits and resources.
03
Health insurance companies or healthcare providers might also offer passports to wellness to their members or patients as a way to encourage preventive care and healthy lifestyle choices.
Note: The structure and content of how to fill out a passport to wellness may vary depending on the specific program or organization offering it. Be sure to follow the instructions provided by the program or consult with the designated contact person if you have any questions.
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Passport to wellness is a program designed to promote health and well-being by tracking and monitoring various aspects of an individual's health.
All employees are required to file a passport to wellness as part of the company's wellness program.
To fill out the passport to wellness, employees need to provide information on their current health status, lifestyle habits, and any health goals they may have.
The purpose of passport to wellness is to encourage employees to take charge of their health, make positive lifestyle changes, and improve overall well-being.
Information such as weight, height, blood pressure, physical activity level, diet habits, and any existing health conditions must be reported on the passport to wellness.
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