Medical Forms

How to Submit Verification

If participants wish to receive points for medical exams, they will need to upload medical verifications in WellSteps. Acceptable forms of proof include a doctor's note, explanation of benefits, or a signed Healthy Lifestyles Medical Form. We do NOT accept a screenshot of the appointment reminder or medical record (this should be kept private). 

You also have the opportunity to upload your Annual Physical Form, for an additional 50 points. Instructions for uploading is the same, please go to Medical Verifications in Wellsteps or follow the instructions below. 

The preferred method is to upload your document directly in WellSteps. However, you can submit proof in any of the following ways:

• Email: Scanned and emailed to MyHealthyLifestyles@slco.org. You can also take a picture of your form or EOB on your phone and email it directly. 
• Courier: Attn-Healthy Lifestyles, GC S2-600-4575
• Drop Box: Located outside the Healthy Lifestyles office Government Center (S3-840)
• Fax: 385.468.4096 

Medical Exam Points: 

Other:

• Annual Physical Form
• Tobacco Free Verification Form: Earn $300 by quitting tobacco for 11 consecutive months.
• 2023 Code of Conduct & Activity Waiver