Get Health Screening Form

This guide provides a step-by-step approach to completing the Health Screening Form online. Designed to support users through the process, it offers clear instructions for each section of the form to ensure a smooth experience.

Follow the steps to successfully complete your Health Screening Form online.

1. Click ‘Get Form’ button to access the Health Screening Form and open it in your preferred PDF viewer.
2. If you prefer to receive the form via email, enter your preferred email address, date of birth, and member ID. If you are the partner of the head of contract, enter the head's member ID followed by the letter 's'. Click the ‘Verify’ button.
3. Your personal information will populate automatically. Verify all details for accuracy and click the ‘Order Physician Screening Form’ button.
4. Once the confirmation screen appears, the Physician Form and instruction page will be emailed to the address provided. Take the printed form to your healthcare provider for completion.
5. If you do not have an email address, check the 'No Email' option. Enter your date of birth and member ID, followed by the head of contract's member ID and 's' if applicable. Click on the ‘Verify’ button.
6. Once verified, click the download link to save the Physician Screening Form to your device.
7. Open the downloaded PDF file to ensure your details are correctly displayed, then print the form.
8. Complete the form with your physician, then fax it back to Onsite Health Diagnostics at 972.823.1641 or mail it to 7801 Mesquite Bend, Suite 106, Irving, Texas, 75063.

Complete your forms online today for a streamlined health screening process.