Get 2017 Biometric Screening Form - Lakeland Care Network

Completing the 2017 Biometric Screening Form for the Lakeland Care Network is an essential step to receive wellness rewards. This guide will provide clear instructions on how to accurately fill out the form online.

Follow the steps to successfully complete your biometric screening form.

1. Press the ‘Get Form’ button to obtain the 2017 Biometric Screening Form. This will allow you to access the document in an editable format.
2. In Part 1, you will need to enter your identification number, date of birth, and personal information such as your first and last name, address, phone number, and email address. Ensure all details are accurate for proper processing.
3. Next, sign your name in the designated area in Part 1 to confirm the accuracy of the provided information.
4. Move to Part 2, where your healthcare provider or health coach will fill out the required biometric measures. They will check the appropriate boxes for each measure reported and provide numerical data (height, weight, blood pressure, and blood sugar) as applicable.
5. If your healthcare provider identifies an alternative improvement goal, they will check the relevant box and indicate any pertinent improvement percentage.
6. In Part 3, the healthcare provider or health coach must print their name, sign the form, and include their tax identification number and contact information.
7. Part 4 is a reminder for you to ensure all measurements are taken by the specified deadline. Make sure the completed form is submitted to HealthSCOPE Benefits by the due date specified.
8. Finally, submit your completed form by sending it via secure fax, secure email, or mail, ensuring all pages are attached.
9. Review your changes before finalizing the submission. You can save, download, or print the form for your records before sending it to HealthSCOPE Benefits.

Begin filling out your 2017 Biometric Screening Form online today to ensure you qualify for your wellness benefits.