• Cottage Health 2023 Physician Form Secure Submission

    Upload your completed Physician Form by 10/31/2024.

    Before you submit your form, please complete the following steps:

    • Print clearly and review your form to ensure it is complete.

     

    • Confirm the date of screening is within the following date range: 11/1/2023 – 10/31/2024.

     

    • Confirm your glucose, cholesterol, HDL, LDL and triglyceride values are included on your form.

     

    • Be sure to provide a valid email address so we can communicate with you regarding the status of your form.

     

    • Ensure you and your physician have signed your form. Both signatures are required.







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