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Wellness begins with understanding. This checklist helps you have a clearer picture of your health. It also starts the conversation with your doctor on any changes you might need, whether it’s around exercise, diet, adjusting your medications or simply more socializing.
Download the checklist. You can then fill it out and bring it along to your yearly checkup.
Originally published 12/2016, Most recent file update 5/3/2023
Do I print this form for my dr to fill out
Hi Donna, This form is for your own reference. If you would like to print it out and have your doctor fill it out, you can do so. ~ HC