Preventive Well Visit Drawing

At Mesa Public Schools we value the health and well-being of our employees.  As part of our health and wellness program, employees are encouraged to meet directly with their health care provider for an Annual Preventive Well Visit. An annual preventive well visit can help detect and help you prevent serious diseases maximizing your health.

Complete the fields below for your annual well visit that occurred between Sept. 1, 2017 and Aug. 31, 2018, and you'll be entered into a drawing to win $150.  Up to 10 winners will be selected and notified monthly.

Please contact Diane Brand, with any questions that you may have. Diane can be reached by email at dbrand@mpsaz.org or by phone at 480.308.7542.

 

Name:

First M.I. Last

Email:

Phone Number:

School or Department:

1.

Cigna ID #

2.

Doctor's name

3.

Date of screening