Get Kaiser Permanente Biometric Screening Request Form If You Are A ... - Sbcounty

Completing the Kaiser Permanente Biometric Screening Request Form is essential for members participating in their employer's wellness reward program. This guide provides clear steps on how to fill out the form online effectively.

Follow the steps to complete the biometric screening request form.

1. Press the ‘Get Form’ button to access the Kaiser Permanente Biometric Screening Request Form and open it for editing.
2. Fill in your personal information accurately. This includes your member name, Kaiser Permanente medical record number, and primary care physician's name.
3. Indicate the screenings you need completed by checking the appropriate boxes for fasting blood sugar, hemoglobin A1c, and lipid profile, as well as BMI and blood pressure.
4. Ensure you understand the requirements for lab tests: fast for 12 hours prior to your blood tests, while remaining hydrated and taking prescribed medications.
5. Submit the completed form to a Kaiser Permanente medical facility laboratory for lab tests or to your primary care physician's office for blood pressure and BMI screenings.
6. Once the screenings are completed, your results will be recorded in your medical record and can be accessed through kp.org/MyHealthManager.
7. After filling out the form, you can save your changes, download, print, or share the form as needed.

Complete your Kaiser Permanente Biometric Screening Request Form online today.