Submission 2026

1. Begin by clicking ‘Get Form’ to open the Healthy Standard Appeals Form in our editor.
2. Ensure your health provider completes and signs the form on page 2. This is crucial for processing.
3. Once signed, you can submit the form securely. The recommended method is to scan the completed form and upload it at http://forms.wellmetrics.life/submission. Make sure your health care provider uses your email associated with the wellness program for confirmation.
4. Alternatively, you can fax the signed form to (866) 877-7095, but remember that scanning and uploading is preferred.
5. Keep a copy of the successful transmission for your records to ensure you have proof of submission.

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