If you are unable to attend one of the scheduled screening events, or if you've had qualifying lab work completed or a physical after January 1, 2026, you can still earn rewards by having your primary care provider fill out the Wellscreens Physician Attestation Form. Please ensure your appointment is a preventive exam so it is recorded (“coded”) appropriately by your provider.
- Print the form, have your provider complete it, then you or your provider can enter your results through a secure REDCap link by going to https://redcap.link/uabew.
- All results must be submitted by November 30, 2026.
- Forms submitted with an incorrect Blazer ID or missing information may require additional processing time while errors are reviewed and corrected. In some cases, forms with unresolved errors may not be eligible for rewards. If your screening results are not visible in myHC360+ within four weeks of your screening date, please contact HealthCheck360 for assistance.
Please note, Wellscreens Physician Attestation Forma will begin processing once Wellscreens start in the fall. You or your provider may submit your form at any time, but points will not be reflected in My Health Rewards until the in-person Wellscreen screenings begin.
Wellscreens Physician Attestation Form
