Get Health Screening Form

Completing the Health Screening Form online is a straightforward process that ensures your health information is accurately captured and used for your screening. This guide provides step-by-step instructions to help you fill out the form with confidence and ease.

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

1. Press the ‘Get Form’ button to acquire the Health Screening Form and open it in the designated editor for completion.
2. Begin with filling out your basic information. Enter your first name and surname in the respective fields, ensuring you circle your screening type: Mini Health Check or Well Person Health Check. Provide your screening location, email address (written in block letters), telephone number (home or mobile), and date of birth along with your gender.
3. Complete the lifestyle questionnaire by responding to each question regarding your current habits, such as sleep quality, alertness during waking hours, and dietary considerations. For each question, select the appropriate options and circle your chosen answers.
4. Provide information regarding your family health history. Indicate if you have any pre-existing health conditions or concerns, and specify any relevant family health issues by answering yes or no.
5. Detail your medication usage by answering questions about blood pressure, cholesterol, and blood thinning medications. Additionally, respond to questions about allergies, caffeine intake, alcohol consumption, smoking habits, and any recent lifestyle changes you wish to target.
6. Once you have completed all sections of the form, carefully review your entries for accuracy and completeness.
7. After ensuring all information is correct, save your changes. You may also choose to download, print, or share the completed form as required.

Complete your Health Screening Form online today for a thorough health assessment.