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Share Lifestyle Prescriptions with Your Patients

Our newly updated lifestyle prescription forms enable you to send lifestyle and preventive health care instructions home with your patients.

 

When you save the PDFs to your desktop, you can easily access and complete the forms while you and your patient discuss nutrition, exercise, and more. When you’re finished, print a copy for your patient and your files, or store yours electronically.

 

You’ll find the following three forms at Wellmark.com (Providers > Forms) under the heading My Prescription for You:

  • Adolescent Health 
  • Adult Prevention/Screening
  • Adult Lifestyle Change

These forms are available via our Website only.

 


 

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Wellmark Blue Cross and Blue Shield is an Independent Licensee of the Blue Cross and Blue Shield Association doing business in Iowa and South Dakota.
 
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