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Get Health Qualification Form - Boise Cascade
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How to fill out the Health Qualification Form - Boise Cascade online
Completing the Health Qualification Form - Boise Cascade online is essential for your health assessment and participation in the Healthy Measures program. This guide will provide clear and supportive instructions to help you accurately fill out this important document.
Follow the steps to complete the Health Qualification Form effectively.
- Use the ‘Get Form’ button to access the Health Qualification Form online and open it in your preferred editing tool.
- Begin by entering your member information. Fill in your name, Blue Cross of Idaho Subscriber ID number, date of birth, and contact information. Ensure accuracy as this information is critical for identifying your health records.
- Indicate your sex by selecting the appropriate option on the form. This information is necessary for health assessments.
- Provide the employer group name, which is Boise Cascade Company, followed by your group number.
- Sign and date the member signature section to validate your consent and participation in the Healthy Measures program. If you choose not to participate, mark the decline box accordingly.
- Next, the healthcare professional needs to complete their section. They should print their name, provide their telephone number, state license number, and sign the document.
- The healthcare professional will assess specific health measures, such as tobacco use, blood pressure, cholesterol, weight, and blood sugar levels. They should accurately fill in each field, indicating the date and results.
- Ensure the healthcare provider checks the appropriate box for each health measure and totals the points achieved for the assessment.
- Review the entire form for completeness and accuracy before finalizing. Make sure to keep a copy for your records.
- Submit the completed form via email, fax, or mail as indicated in the instructions, and ensure to keep a copy for your personal records.
Complete your Health Qualification Form online today to take the next step in your wellness journey.
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