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  • Physician Screening Collection Form: Standard

Get Physician Screening Collection Form: Standard

Ic Blood Pressure (rest) mmHg Diastolic Blood Pressure (rest) mmHg Height in Weight lbs Waist Circumference in 2015 Viverae, Inc. All Rights Reserved Yes / Units Total Cholesterol Fasting / No You can submit your form in one of three ways: (1) upload from the Resources page on MyViverae.com (2) via fax using the number below, (3) via mail using the address below. Secure Fax: (844) 496 7205 Address: Attn: Screening Services Department, 10670 N. Central Expwy., Suite 250, Da.

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How to fill out the PHYSICIAN SCREENING COLLECTION FORM: STANDARD online

Filling out the Physician Screening Collection Form: Standard is essential for obtaining necessary lab and screening tests from your healthcare provider. This user-friendly guide will walk you through each step of the process to ensure your form is completed correctly and efficiently.

Follow the steps to complete the form accurately.

  1. Click ‘Get Form’ button to access the Physician Screening Collection Form: Standard and open it in your preferred editor.
  2. Begin by entering your contact information in the designated fields. Provide your full name, employer (Newport News Public Schools), date of birth, today's date, and phone number. Ensure all fields are completed as they are required.
  3. Proceed to the section for the licensed medical professional. Fill in their name, phone number, address, city, state, and signature. Additionally, include their license number to validate the information.
  4. Next, input the test parameters. Record the test date and results for each parameter including HDL cholesterol, LDL cholesterol, triglycerides, glucose, systolic and diastolic blood pressure, height, weight, and waist circumference. Make sure that all values are in the appropriate units.
  5. Once you have completed the form, review all fields to ensure accuracy. It's crucial that all required fields are filled out accurately.
  6. After finalizing your edits, save the changes to your form. You can then choose to download, print, or share the completed form as needed.

Complete your PHYSICIAN SCREENING COLLECTION FORM: STANDARD online today to ensure your health screening is processed efficiently.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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