How to use the preventive screening form (if available). Options, activity name, activity dates, and deadlines will vary by program. Check your program's preventive screening tile or Wellmetrics page for details.

• Forms must be filled out completely and signed by both the well-being program member and their health care provider to be processed.
• Note that a preventive screening with or ordered by your provider is subject to normal patient fees, co-pays, etc.
• If you wish, you can fax the form to the number at the top of the form. Otherwise, follow the instructions below.
• Spouse/partner/other eligible household members should include their own personal or identifying information, and not the employee's, on any written or online forms.
• If you received a blank preventive screening form (with no preprinted personal information) from an Aduro member support agent, note that any upload website on the form is not valid. In that case, follow the instructions below.

1. Log in to the Aduro Mobile App or your well-being program website. Click or tap the preventive screening tile, and then click or tap the download form link.

   

2. Download and print the form, and then complete and sign the PARTICIPANT portion of the form.
3. Bring the form to your provider at the time of your screening or once your results are available to have them complete the lower portions of the form.
4. Once the provider has completed the form, we recommend that you retrieve the form for your records and submit it yourself.
5. Take a digital picture or scan of the form, and have the image ready on your computer or mobile device.
6. To submit your form, follow the instructions above to return to the download/upload page, then click the Upload Your Form button.
   • In some cases, an upload website may be provided at the top of the form, but this is simply an alternate option only. Do not use “www.” as part of the web address, or you may get an error.

7. On the upload page, click or tap the appropriate form type, and then fill in the requested information. Click the Choose file button, and select the picture or scan you wish to submit. Click or tap the Upload form button, and wait for confirmation.

   

8. Note the valid file types and the file size limit shown on the page. If there is an issue with the upload, the system will display an error message.
9. Allow three business days for processing.

If you need assistance with your well-being program or program account, please submit a help request. Click the chat icon (speech bubble) in the lower right corner of the page to connect with a live agent, or click the Submit a Request link at the top of the page, and we'll respond as soon as possible.

When using chat, be sure to close your browser window or tab to clear your chat once the discussion is completed. This will help protect your privacy, especially is you're on a shared computer.

When submitting a help request, please include the following information as applicable:

• Your name
• Email address associated with your well-being program account
• Your phone number and time zone (we'll need to speak to you personally for account, personal information, or protected health information issues)
• Your well-being program provider/employer
• Device you’re using and the operating system
• Web browser you’re using and the version number, OR Aduro Mobile App version number (when logged in, tap the menu icon in the upper right)
• Step-by-step description of the issue, including the names of any Activities, Paths, etc. involved
• Screenshots or video that illustrate the issue, if possible