©2018 Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross Blue Shield Association.

How to Access the Physician Screening Form1. Visit MyBlueKC.com or download the

Blue KC-A Healthier You App. *Use browser: Chrome

2. Enter your username and password, and click LOG IN. If you are a first time visitor, click REGISTER NOW. Be sure to have your member ID card available to reference.

3. Once logged in, click on A Healthier You from the My Home page.

4. First time users will be prompted to complete the registration personalization questions.

5. Follow steps A-E.

B. CLICK ON THE

PHYSICIAN SCREENING FORM LINK

C. ENTER ANY NEEDED

INFORMATION

A. CLICK HERE

©2018 Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross Blue Shield Association.

How to Access the Physician Screening Form1. Visit MyBlueKC.com or download the

Blue KC-A Healthier You App. *Use browser: Chrome

2. Enter your username and password, and click LOG IN. If you are a first time visitor, click REGISTER NOW. Be sure to have your member ID card available to reference.

3. Once logged in, click on A Healthier You from the My Home page.

4. First time users will be prompted to complete the registration personalization questions.

5. Follow steps A-E.

B. CLICK ON THE

PHYSICIAN SCREENING FORM LINK

C. ENTER ANY NEEDED

INFORMATION

A. CLICK HERE

©2018 Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross Blue Shield Association.

How to Access the Physician Screening Form1. Visit MyBlueKC.com or download the

Blue KC-A Healthier You App. *Use browser: Chrome

2. Enter your username and password, and click LOG IN. If you are a first time visitor, click REGISTER NOW. Be sure to have your member ID card available to reference.

3. Once logged in, click on A Healthier You from the My Home page.

4. First time users will be prompted to complete the registration personalization questions.

5. Follow steps A-E.

B. CLICK ON THE

PHYSICIAN SCREENING FORM LINK

C. ENTER ANY NEEDED

INFORMATION

A. CLICK HERE

©2018 Blue Cross and Blue Shield of Kansas City is an independent licensee of the Blue Cross Blue Shield Association.

How to Access the Physician Screening Form1. Visit MyBlueKC.com or download the

Blue KC-A Healthier You App. *Use browser: Chrome

2. Enter your username and password, and click LOG IN. If you are a first time visitor, click REGISTER NOW. Be sure to have your member ID card available to reference.

3. Once logged in, click on A Healthier You from the My Home page.

4. First time users will be prompted to complete the registration personalization questions.

5. Follow steps A-E.

B. CLICK ON THE

PHYSICIAN SCREENING FORM LINK

C. ENTER ANY NEEDED

INFORMATION

A. CLICK HERE

Cómo acceder al Formulario de Evaluación del Médico

A.HAGA CLIC

AQUÍ

B.HAGA CLIC EN EL

ENLACE DE LA EVALUACIÓN

MÉDICA

C.INGRESE LA

INFORMACIÓN NECESARIA

1. Visite MyBlueKC.com o descargue la aplicación de Blue KC-A Healthier You. *Use el navegador Chrome

2. Ingrese su nombre de usuario y contraseña y haga clic en LOG IN [INGRESAR]. Si visita el sitio por primera vez, haga clic en REGISTER NOW [REGISTRARSE]. Asegúrese de tener su tarjeta de miembro a mano como referencia.

3. Una vez que haya ingresado, haga clic en A Healthier You desde My Home [LA PÁGINA DE INICIO].

4. A los usuarios que ingresen por primera vez se les pedirá que completen preguntas personalizadas para registrarse.

5. Siga los pasos A-E

©2018 Blue Cross and Blue Shield of Kansas City es titular independiente de la licencia de Blue Cross and Blue Shield Association.

• A confirmation page will appear for your review and a confirmation email will be sent to the communications email you have with Blue KC.

• You will receive your Physician Screening Form via email within one business day. Please read the directions in the email to access your form, as the password to open the form is contained in the email.

• You may also download a copy of the screening by clicking on the My Appointments Tab.

D. CLICK TO SELECT

PHYSICIAN SCREENING

E. COMPLETE THE

CONSENT FORMS BELOW

• A confirmation page will appear for your review and a confirmation email will be sent to the communications email you have with Blue KC.

• You will receive your Physician Screening Form via email within one business day. Please read the directions in the email to access your form, as the password to open the form is contained in the email.

• You may also download a copy of the screening by clicking on the My Appointments Tab.

D. CLICK TO SELECT

PHYSICIAN SCREENING

E. COMPLETE THE

CONSENT FORMS BELOW

• A confirmation page will appear for your review and a confirmation email will be sent to the communications email you have with Blue KC.

• You will receive your Physician Screening Form via email within one business day. Please read the directions in the email to access your form, as the password to open the form is contained in the email.

• You may also download a copy of the screening by clicking on the My Appointments Tab.

D. CLICK TO SELECT

PHYSICIAN SCREENING

E. COMPLETE THE

CONSENT FORMS BELOW

• A confirmation page will appear for your review and a confirmation email will be sent to the communications email you have with Blue KC.

• You will receive your Physician Screening Form via email within one business day. Please read the directions in the email to access your form, as the password to open the form is contained in the email.

• You may also download a copy of the screening by clicking on the My Appointments Tab.

D. CLICK TO SELECT

PHYSICIAN SCREENING

E. COMPLETE THE

CONSENT FORMS BELOW

• Aparecerá una página de confirmación para que revise y se le enviará un correo electrónico de confirmación a la dirección de correo electrónico que tenga con Blue KC.

• Recibirá el Formulario de evaluación del médico a través de un correo electrónico dentro de un día hábil. Por favor lea las instrucciones del correo electrónico para acceder al formulario y la contraseña para abrir el formulario que está en el texto del correo electrónico.

• También puede descargar una copia de la evaluación haciendo clic en la lengüeta My Appointments [mis citas].

D.HAGA CLIC PARA

ELEGIR LA EVALUACIÓN

MÉDICA

E.COMPLETE LOS

FORMULARIOS DE CONSENTIMIENTO A

CONTINUACIÓN