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MARCH 20132×PageWELCOME TO BE WELL! Know that you're not alone in your struggle to be or stay well while uninsured. There are approximately 50 million of us here in the United States, which means
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Start by selecting the 'Welcome to Be Well' form.
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Read the instructions carefully before beginning.
03
Fill out your personal information such as your name, address, and contact details.
04
Provide information about your health history, including any current medications or allergies.
05
Answer all questions honestly and to the best of your knowledge.
06
If there are any specific sections or questions that you are unsure about, seek assistance from a healthcare professional.
07
Once you have completed all the required fields, review your answers to ensure accuracy.
08
Sign and date the form to certify that the information provided is true and correct.
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Submit the form as per the instructions given by the organization or healthcare provider.

Who needs welcome to be well?

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Anyone who is visiting or being treated by the 'Be Well' healthcare organization.
02
New patients who want to provide their personal and health information.
03
Existing patients who need to update their information.
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Healthcare professionals who need to gather comprehensive information about their patients.
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Welcome to be well is a program designed to promote health and wellness.
All employees are required to participate in welcome to be well.
You can fill out welcome to be well by attending workshops, completing online modules, and participating in activities.
The purpose of welcome to be well is to improve the overall health and well-being of participants.
Participants must report their progress in completing wellness activities and goals.
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