• ITW Health Care Provider Form Secure Submission

    Upload your completed Health Care Provider Form by the required deadline, outlined below:

     

    If you were hired on or after 6/2/2024 the completed form must be received no later than 2/28/2025

    Exam dates must be: 12/1/2023-2/28/2025

     

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

    • Print clearly and review your form to ensure it is complete.
    • Provide a valid email address so we can communicate with you regarding the status of your form.
    • If you do not provide a valid email address, you will need to confirm the successful submission of your Health Care Provider Form on the wellness portal. Log in to ITWemployee.com and click on the Wellness icon under the Benefit Provider Websites dropdown to access the Living Well at ITW wellness portal. Once you're on the Living Well at ITW wellness portal homepage, click the Rewards tab to confirm your health screening completion. It can take up to 10 business days for your results to be uploaded.

    For additional support or questions about your form please call WebMD Health Services Customer Service:  866-543-2053







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