Forms

Printer-friendly versionPrinter-friendly version

GENETIC FITNESS FORMS

For your convenience, please click on the appropriate links to down load and fillout the needed forms.  You can submit them at the front desk at your next visit.

 


United Health Member Enrollment 

If you are a United Health Member, fill out this form.


Waiver for Silver Sneakers and Prime 

 If you are part of Silver Sneakers or Prime, you need to fill out and submit this form.


Minors: Release of Liability for Minors 

If you have a membership for a minor, their parent or legal guardian needs to fill out and submit this form.



 

AttachmentSize
silversneakers.pdf1.26 MB
UnitedHealthcareEnrollmentForm.pdf321.01 KB
ReleaseOfLiabilityForMinors.pdf87.11 KB