How do I complete and upload a Physician Screening Form?

Read below how to download, schedule, and submit your Physician Screening Form.

How do I download a Physician Form?

How do I schedule an appointment to utilize the Physician Form? 

How do I submit my Physician Form?

Other items to keep in mind when submitted your Physician Form 

 

How do I obtain a Physician Screening Form?

  • Log in to your myHC360+ account. 
  • Select My Health.
  • Select Physician form.

  • Select Download.

How do I schedule?

  • Contact your Healthcare Provider and schedule an annual wellness appointment. 
  • Ensure your scheduled visit is covered as an annual wellness appointment by asking your Healthcare Provider or insurance company. 
  • Ensure your scheduled visit is within the program deadline.

How do I submit my Physician Form?

  • Log in to your myHC360+ account. 
  • Select My Health. 
  • Select Physician form.
  • Select Next.
  • Select Upload PDF to upload your completed screening form and fill in the on-screen form.
    • Accepted formats for upload include: pdf, jpg, png, gif, doc, and docx.


  • Once submitted, you will receive a notification that results are under review.

Keep in mind:

  • Employees and spouses must complete separate forms and submit them through their separate myHC360+ accounts. 
  • Your results are available within 10 business days after they are received on myHC360+. If your results are not available within 10 business days, please confirm all required fields were included on your form.