If you are unable to attend one of the scheduled screening events, you have the option to complete your screening through your primary care provider using the Wellscreens physician fax form. Please ensure your appointment is a preventive exam so it is recorded (“coded”) appropriately by your provider.

The following steps must be completed to receive credit for completeing a Wellscreens when using the physician fax form:

• Your provider must complete and sign the Wellscreens physician fax form.
• The completed form must be submitted to UAB HealthSmart by November 30 to receive completion credit toward any applicable incentive — no exceptions.
• You or your provider may submit the completed and signed form in one of the following ways:
  1. Electronically: Upload a scanned copy of the completed form through a secure REDCap link by going to https://redcap.link/uabew. When submitting electronically, please make sure your Blazer ID is entered correctly.
  2. Fax: Send the form directly to UAB HealthSmart at 205-996-2974.

Please note, Wellscreens physician fax forms will begin processing once Wellscreens start in October 2025. You or your provider may send in your fax form at any time, but points will not be reflected in My Health Rewards until the in-person Wellscreen screenings begin.

Wellscreens Fax Form

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