Aduro Web Platform

Online Physician Form

Please note that data uploaded via this webpage is encrypted in transmission and is managed pursuant to the confidentiality requirements in our agreements with your employer and our Privacy Policy. Please carefully read the consent on each form to ensure you understand how the information will be used and contact your Human Resources Department should you have any questions. Please allow 48-72 hours for your information to be processed and displayed in your employer wellbeing portal.

1) Please choose upload form type

2) Enter the Program ID number located at the top or bottom right of the physician form. If applicable, include leading zeros.

Example

3) Fill in the following fields

First Name

Please input participant's first name

Last Name

Please input participant's last name

Date of Birth

Participant Program Email

4) Upload Health Provider Screening Form

Upload

Click the button above to upload your file. The size limit is 25MB.