You Define Wellness
Home
Our Founder
Mission and Values
In the News!
Wellness Center
How to Use
Wishlist
Cart
PATHS: A Healthy Living Game
Active Game Board
Rules
Provider Game Sign Up
Workplace Version
Pathways: for Individuals
Events
Healthy Living Articles
Contact Us
Referral Partner Program
Become a Provider
Login
File for Services Rendered
Your reimbursement is a few steps away...
IF YOUR CLIENT NO-SHOWED:
CHECK HERE and complete the remaining required fields
Client Name
*
First
Last
Date of Service
*
Date Format: MM slash DD slash YYYY
Service Obtained
What is your normal retail rate for this service? (numbers only)
Authorization Code from Client (note: if client does not present a code and no session was available, you are at risk).
Special instructions: if your client redeemed more than one YDW session with you, list all authorization codes in comments section.
Who should we make payment to?
Do you want your notification via text or email?
Text message
Email notification
Phone number for text message
We pay electronically within 1-2 business days of receiving your request. You will receive a text message stating "O'Malley & Associates LLC wishes to make payment to you" along with instructions on how to transfer funds to your checking account.
What email address should we send funds to?
We pay electronically within 1-2 business days of receiving your request. You will receive an email stating "O'Malley & Associates LLC wishes to make payment to you" along with instructions on how to transfer funds to your checking account.
Our payment system requires you to answer a Security Question; what question do you want it to ask?
What will be your answer to the Security Question?
Comments
Email
This field is for validation purposes and should be left unchanged.
File for Services Rendered
Denise
July 10, 2016
Important Info
Mission and Values
Disclaimer
Terms of Service
Contact Us!
info@YouDefineWellness.com
(303) 222.7168; ext. 700
Toolbox for Appointed Providers
Welcome to You Define Wellness
Sign Up for your New Store
Provider Agreement Terms & Conditions
Add a WELLNESS TALK to your new Store!
Lock Authorization Code
File for Services Rendered
HLSC Distributor Agreement and order form
Wellness PathFinder Certification
Provider Login