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Get the free 2020 Phillips 66 Well-Being Program Preventive Screening Form

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The form to submit for receiving credit for preventive screenings under the Phillips 66 Well-Being Program.
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How to fill out 2020 Phillips 66 Well-Being Program Preventive Screening Form

01
Obtain the 2020 Phillips 66 Well-Being Program Preventive Screening Form.
02
Review the instructions provided on the form carefully.
03
Fill out your personal information such as name, employee ID, and date of birth.
04
Indicate any specific health concerns or medications currently being taken.
05
Select the preventive screenings you would like to receive based on your age and health risk factors.
06
Provide necessary signatures, if required, to authorize the screenings.
07
Submit the completed form to the designated health services provider or HR department.

Who needs 2020 Phillips 66 Well-Being Program Preventive Screening Form?

01
All employees of Phillips 66 who are eligible for the Well-Being Program.
02
Individuals seeking preventive health screenings to monitor and improve their health.
03
Employees who are looking to take proactive steps towards their wellness.
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The 2020 Phillips 66 Well-Being Program Preventive Screening Form is a document used by employees to report their participation in preventive health screenings as part of the company's health and wellness program.
Employees who are participating in the Phillips 66 Well-Being Program and have undergone the necessary preventive health screenings are required to file the form.
To fill out the form, employees need to provide their personal information, detail the screenings they have completed, and submit any required documentation as specified in the instructions.
The purpose of the form is to collect data on employees' health screening participation, promote preventive health measures, and allow the company to track the effectiveness of its Well-Being Program.
The information that must be reported includes the employee's name, identification number, details of the preventive screenings completed, dates of these screenings, and any other relevant health information as required by the form.
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