Checklist for the Wellness Fair

CHECKLIST for the WELLNESS FAIR

This checklist is being sent to you in order that there is mutual understanding on the part of your company and Park Avenue Corporate Health. It also ensures that everything goes smoothly on the day

Your name :
Your email :
Company :

Address of Company (including cross streets and floor number):

Date of the Wellness Fair:
Calendar

Time of Wellness Fair: 10am - 12pm

   2pm - 4pm
Others

Phone: ( ) ext.

Fax  :   ()

Total number of employees:

Estimated Attendance:

Will a security list be required?

Does your company currently have a contract with a health club?

Do you plan on inviting any other vendors to attend your Wellness Fair?

The basic package includes the following free services:
(Please initial to confirm service request)

Stress Evaluation (free)           Cardiovascular Screening (value of $1,200.00)*
Back/Spinal Screening (free) Vision Accuity Screening (value of $400.00)*
Massage Therapist (free)** Aroma Therapy (value of $300)*
Blood PressureScreening(free)Acupuncture/Smoking Cessation (value $250)*

    Body Fat Analysis (free)
    Nutritional Screening (free)
    Health Club Representative (free)
    Raffle with Door Prizes (free)
    Dental Screening (Certain conditions apply)
    Podiatry Screening (Certain conditions apply)

In addition, we offer other services for your Wellness Fair (check off):

2 ^nd Massage Therapist ($65.00/hour)

Diabetes Testing ($15.00/person)

Glaucoma screening ($200/person)

Cholesterol screening ($15.00/person)

Osteoporosis Screening ($1,200.00 for every 16 employees)

Hearing Screening ($200.00/hour)

Flu shots ($14/person, 30 person minimum)

Reiki ($150.00/hour)

Yoga ($150.00/hour)

Tarot Card Reading ($150.00/hour)

Meditation ($150.00/hour)

Type of Insurance offered:

Give an estimate as to how many are:
POS = PPO = HMO = Other =

Type of Dental Insurance offered:

Give an estimate as to how many are:
POS = PPO = HMO = Other =

        Park Avenue Corporate Health is in no way affiliated with any insurance company, nor do we discriminate or favor based on your current health plan. We ask several general questions regarding your coverage in order to ensure that the doctors and medical professionals we bring to your organization accept your plan, and in turn will benefit from our Wellness Programs and Seminars. Our goal is to fit companies with exceptional doctors who are geographically close to your company, as well as covered under your current benefits package. We strive to foster excellent relationships between both parties, and pride ourselves in doing so.

As a reminder, be sure to email all employees one week prior and on the day of the event. Ensure that proper signage provides information as to the venue, time and date of the event, so that employees may make the necessary arrangements to attend. Please remember, this will be a fun and an upbeat way to show your employees that you care!

Name of Signatory:

*Provided as available
** One (1) licensed massage therapist provided at no-fee