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Wellness at Tucson Unified

Wellness Incentive - 2018-2019 forms now available!

Get Fit. Earn Rewards. Wellness Incentive Program

The 2018-2019 Wellness Incentive Program forms are now available!

Complete Wellness Incentive Program Packet (in PDF)

Tucson Unified's $300 Wellness Incentive Program

Participating in the TUSD Wellness Incentive Program in 2018-2019 will qualify you for rewards and premium rebates the following plan year, plus assure that you are taking positive steps towards preventing disease and living healthier.

Print the Wellness Incentive Paperwork/Packet.

The Wellness Incentive paperwork is available here year-round!

Fill out paperwork while completing 5 easy steps.

2018-2019 Checklist and Forms - Printable Version (in PDF)

You only have to do 5 things!

3 required steps:

  1. Get your Annual Physical Exam, and have your doctor complete the bottom portion of the Healthcare Verification Form (in PDF).
    Quick Tip – Healthcare Verification Form is the only form that needs to be signed by your doctor or nurse practitioner. Take it with you to your appointment!)
  2. Complete your Annual Lab Work (a basic lab panel of cholesterol, triglycerides, and glucose is required), and submit a copy of your lab results with the Lab Work Verification Form (in PDF).
  3. Complete your Rally Survey (log on to to complete survey)

Plus 2 of the following (any 2, and only 2 – you pick!) and indicate your selections on the Activity Verification Form (in PDF).

  1. Complete and sign the Non-Tobacco User Affidavit Form (in PDF).
  2. Review Rally Health Survey Report with a Wellness Council of Arizona Health Coach. Print and take a copy of your Rally Health Survey report with you to your appointment with a Health Coach
  3. Attend 4 wellness presentations in the 2018-2019 school year with the Wellness Council of Arizona Health Coaches.
  4. Participate in ongoing Health Coaching with a Wellness Council of Arizona Health Coach. (4 session minimum between July 1, 2018 and June 15, 2019)
  5. Submit receipts of payment for gym membership, fitness facility or program or home use fitness accessories (minimum of $150, purchased in the last 12 months)
  6. Submit proof of participation in fund raising fitness activity (walks, rides and runs that benefit local and national non-profits)
  7. Complete 2 of 4 Wellness Challenges: FITGO Bingo 2018, Healthy Selfie 2018, Maintain Don't Gain 2018-2019, Biggest Winner – Team Weight Loss Challenge 2019
  8.  Complete a Wellness Program through United Healthcare (Initial 16 weeks of Real Appeal or a UHC Disease Management Program)

Submit completed packet to the Wellness Council of Arizona no later than June 15, 2019

Once you have completed your packet for the Wellness Incentive Program, submit the paperwork to the Wellness Council of Arizona no later than June 15, 2019 by:
  • Secure Email: - preferred method
  • Mailing Address: Wellness Council of Arizona, 1670 N. Kolb Rd. Ste. 246, Tucson, AZ 85715
  • Secure Fax Number: 520‐293‐3368 (follow up with a call or email to confirm receipt of your fax)

How to Submit

  • Submit to the Wellness Council of Arizona:
    Mailing Address: 1670 N. Kolb Rd.
    Ste. 246, Tucson, AZ 85715
    Secure Fax: 520-293-3368
    Secure Email: (preferred method)
  • Your Confidentiality is Assured
    All personal health information will be maintained and protected by the Wellness Council of Arizona. Your health information is not shared with your employer or anyone at TUSD.
  • Questions?
    Call the Wellness Council of Arizona at (520) 293-3369, talk to or email your Health Coaches, or email

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Wellness Incentive Forms

Photo of Wellness Coaches