Proof of physical exam 2026

1. Click ‘Get Form’ to open the proof of physical exam document in the editor.
2. Begin by entering your name in the designated field where it states 'This document serves as proof that'. Ensure your name is spelled correctly for accuracy.
3. Next, input the date of your annual physical examination in the specified area. This is crucial for validating the timing of your visit.
4. Fill in the facility name where you had your examination. This helps identify the location of your healthcare provider.
5. Provide your doctor’s name in print format, ensuring clarity and legibility.
6. Your doctor will need to sign this form. If you're using our platform, you can easily add a signature field for them to complete digitally.
7. Finally, sign and print your name in the employee signature section. By signing, you authorize verification of your exam for wellness incentives.
8. Once completed, scan and email the signed form to your CORE Wellness Team at askthepros@acispecialtybenefits.com.

Start using our platform today to streamline filling out your proof of physical exam effortlessly!