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Please complete SECTION 2 and SECTION 3 below sign in SECTION 3 and fax the completed form to 1-866-380-5068 no later than 4 30 pm EST on May 31 2013. Thank you. SECTION 1 PATIENT INFORMATION PATIENT - Please print as shown on your insurance card First Name Middle Initial Street Address Last Name State City Phone Number Member ID - Zip or CIGNA Check Gender Age Male United Healthcare Date of Birth Female Month Date Year Patient Disclosure Stateme.

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2019 CIGNA Wellness Screening Form
Form cannot be processed if incomplete. › Your doctor, or other health care...
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You should not eat anything at least 8 hours prior to your test. It is important to fast for at least 12 hours. Water is allowed though. You should not chew gum, smoke, or exercise before your test because all these activities can stimulate your digestive system and affect test results.

Do They Drug Test in a Biometric Screening? Employer biometric screenings do not include drug testing. These screenings are performed simply to provide information about a person's health and encourage healthier lifestyle choices. A biometric screening is frequently ordered with blood tests and physicals.

A: During a biometric screening, a trained Quest Diagnostics provider will collect a number of measurements, including height, weight, blood pressure, waist and/or hip circumference, and a small blood specimen. A screening is typically completed in just 10-15 minutes.

What Does a Biometric Screening Include? At a biometric exam, a number of health indicators will be tested, including blood pressure, glucose (blood sugar) levels, lipids (cholesterol, LDL, triglycerides, HDL), waist circumference, and body mass index. Height and weight will also be recorded.

During a biometric screening, clinicians: Draw blood (often using a finger prick) to measure cholesterol, glucose, and triglycerides. Capture resting blood pressure rate. Record height, weight, waist circumference, and BMI measurements.

Biometric results must include: blood pressure, total cholesterol and height/weight or BMI. All results are confidential. Fill out the Patient Information Section and sign.

First of all, don't be intimidated by the word “biometrics!” During this appointment, U.S. Citizenship and Immigration Services (USCIS) will simply record your fingerprints and take photos of you. They will then run this information through the FBI database in order to check for any criminal records.

Where can I upload my wellness screening form Cigna? Forms can be submitted online at mycigna.com. Log in to mycigna.com, select Incentive Awards Program, and look to the right side of the page for electronic upload feature.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232