Get Shbp Biometric Screening

Filling out the Shbp Biometric Screening form online is an essential part of participating in the SHBP wellness plan. This guide provides detailed instructions to ensure a smooth and easy completion of the form.

Follow the steps to successfully complete the biometrics screening form.

1. Click ‘Get Form’ button to obtain the biometric screening form and open it for completion.
2. Begin with SECTION 1 of the form. Fill out your personal information including your first name, last name, address, phone number, and insurance ID number.
3. Indicate your gender and date of birth in the designated fields. This information is essential for your health records.
4. Review the disclosure statement carefully. Sign and date the form to confirm your understanding and agreement to participate in the biometric screening.
5. Present the completed SECTION 1 form to your physician during your scheduled visit. Inform them to fill out SECTION 2 with the biometric results.
6. In SECTION 2, your physician will provide required screening information such as exam date, height, weight, blood pressure, cholesterol levels, and glucose levels.
7. Ensure your physician signs and completes their information in SECTION 2. This includes provider’s name, address, phone number, and signature.
8. After all sections are filled out and signed, the physician must fax the completed form directly to Cigna at 860.256.6767 by the submission deadline.
9. Once submitted, you can save a copy of the completed form for your records and, if necessary, follow up with the physician or Cigna for any clarifications.

Complete your biometric screening form online today to ensure compliance with the SHBP wellness requirements.