Please complete the following form carefully and review your responses before submitting. We must connect you to one of Cerner's MyWellness clouds which requires that we manually create the account for you using the below information. *Do NOT attempt to create an account on your own through your app store.

Once your account has been created, you will receive an invitation from one of Cerner's campus locations to complete the steps of creating your password. You will also receive an email from a member of the Healthe Fitness Center team with the remaining steps for you to complete.

Please allow up to 48 hours for the creation of your account to be processed.

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* 1. First and Last Name

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* 2. Select one of the following

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* 3. Associate ID # (If you are a spouse/domestic partner or dependent, we MUST have the associate ID of the associate you are connected to)

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* 4. Email Address (If you are an associate, please provide your Cerner email address only. Spouses, domestic partners, and dependents can provide your preferred email address

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* 5. Date of Birth

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* 6. Gender

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* 7. Workspace Location Listed in Workday as of 05/2021 OR Campus you plan to workout 

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