Your Elevate Health Form must be completed by a licensed healthcare provider. You can use a physician’s assistant, nurse practitioner, chiropractor, or any licensed health professional that you have a relationship with and who has detailed information about your overall health. You should not use the school nurse to complete this form.
While the school nurse is a licensed health care provider, he or she won’t have the ability to provide
recommendations using PHA results because other health information, such as medications, conditions, etc., would be missing. Additionally, depending on the size of the staff, this can put a lot of extra work on your school nurse.
You will have almost a year to see a provider. We recommend you have the conversation about your PHA and complete the form at a visit that’s already scheduled, such as an annual checkup. You will need
to complete your PHA and print your form early to give you plenty of time.
If your annual checkup is scheduled during the month of September, you can email contact@ehawellness.org for alternative accommodations.
NOTE: If you participate in a screening offered at your worksite, you may NOT use the nurse at the screening as your healthcare provider to sign your form.