**click the blue font to view the document**
The Hartford Program Details
- The Hartford Client Details & Info Form – Detailed summary of The Hartford’s fall 2019 program.
Documents for Onsite Events
The Hartford Site Contacts will be responsible for printing and providing the following documents to the lead coordinator for each event.
- The Hartford Internal Flu Shot Release Waiver – TotalWellness will return these forms to each site contact at the end of the event.
- Flu Shot Vaccination Information Sheet
- Screening & Flu Shot Appointment Lists
- The Hartford Well-Being Programs Handout
TotalWellness will be responsible to provide the documents below for each event.
- The Hartford Flu Shot Consent Form
- The Hartford Screening Consent Form
- Participant Results Booklet
- The Hartford Program Information Sheet (TW Staff Only) – POD staff will use to award wellness points based on specific criteria. Participants do not receive this paper, STAFF USE ONLY.