Get Health Risk Assessment Form 2020-2025
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How to fill out the Health Risk Assessment Form online
Filling out the Health Risk Assessment Form online is a straightforward process that allows you to provide essential information regarding your health. By completing this form, you help us understand your needs and how we can best serve you with our benefits and programs.
Follow the steps to complete your Health Risk Assessment Form online.
- Click the ‘Get Form’ button to access the online version of the Health Risk Assessment Form.
- Begin by entering your personal information in the designated fields. This includes your date, full name, address, city, state, zip code, daytime phone number, date of birth, last four digits of your Social Security number, and Passport Health Plan ID number.
- Next, indicate the name of your primary care provider (PCP) and their phone number. If assistance is needed in choosing a PCP or scheduling an appointment, please select 'Yes' or 'No.'
- Select your preferred language from the provided options. Additionally, specify your gender, race, and ethnicity if you choose to do so, as this information is optional.
- If you are pregnant, respond to the pregnancy-related questions, including the name and phone number of your OB provider. If you require assistance in finding an OB provider, indicate your need.
- Provide information regarding your last physical exam, current height, and weight. This section helps in evaluating your physical health.
- In Section One, respond to the questions about your physical and behavioral health by circling the appropriate numbers or answering with 'Yes' or 'No.' These questions assess how your health affects your daily activities and emotional wellbeing.
- Proceed to Section Two, where you will indicate your preventive health habits, including smoking status and recent vaccinations. Select the appropriate responses based on your health maintenance routines.
- After completing all sections, review your responses for accuracy and completeness. Make any necessary adjustments.
- Finally, save your changes, download a copy of the completed form, or print it for mailing to the designated address provided at the end of the form.
Complete the Health Risk Assessment Form online to ensure we can assist you effectively!
To effectively answer a Health Risk Assessment Form, start by reviewing each question carefully. Reflect on your personal health history, lifestyle choices, and any relevant medical conditions. Providing accurate and honest information is crucial, as it ensures your assessment reflects your true health risks. Additionally, consider any specific guidelines provided with the form to enhance your responses.
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