Get Biometric Screening Form Cigna

Completing the Biometric Screening Form Cigna is a straightforward process that ensures your health data is submitted correctly. This guide will walk you through each section of the form, highlighting essential details and procedures for users with varying levels of experience.

Follow the steps to successfully complete the form

1. Press the ‘Get Form’ button to access the Biometric Screening Form and open it for completion.
2. In SECTION 1, enter your personal information, including your first name, middle initial, last name, street address, city, state, zip code, phone number, gender, age, date of birth, and your member ID. Ensure the information matches what is shown on your insurance card.
3. After completing SECTION 1, present the form to your physician at your scheduled appointment. Request them to fill out SECTION 2 with the biometric screening results.
4. In SECTION 2, the physician will record essential health metrics, such as height, weight, total cholesterol, HDL and LDL cholesterol, glucose levels, and blood pressure measurements. Make sure they sign and provide their details in SECTION 3.
5. After the physician has completed and signed the form, ensure it is faxed to the SHBP Administrator at 1-866-380-5068. It is crucial that this submission occurs no later than 4:30 PM EST on May 31, 2013.
6. Retain a copy of the completed form for your records. If you have any questions regarding the process, feel free to reach out to the number listed on the back of your insurance ID card.

Complete your Biometric Screening Form Cigna online today to ensure your health data is submitted in a timely manner.