Get Health Risk Assessment Form

Completing the Health Risk Assessment Form online is a straightforward process designed to help gather important health information. This guide provides step-by-step instructions to assist you in filling out the form accurately and efficiently.

Follow the steps to complete the Health Risk Assessment Form online.

1. Click 'Get Form' button to access the Health Risk Assessment Form and open it in your preferred document editor.
2. Begin by filling out the demographics section. Enter your first name, last name, phone number, date of birth, age, height, weight, address, body frame size, gender, ethnicity, work location, occupation, and email. Ensure all fields are filled in as accurately as possible.
3. In the personal health habits section, respond to each question by selecting only one answer for each item. Provide the date of your last physical exam, whether you have a regular exercise routine, and details regarding your alcohol and tobacco use.
4. Continue to the family health risk section and indicate whether you or any immediate family members have specific medical conditions such as diabetes or heart disease. Be truthful about each condition and specify the relationship to you.
5. Review the personal health risk section and answer questions regarding your overall health and lifestyle. You will be asked about prescription medications, your blood pressure, cholesterol levels, and any history of chronic illness.
6. Proceed to the dietary and nutritional risks section, responding to questions about your eating habits and hydration.
7. Next, review the safety risks section, detailing your transportation habits, seatbelt usage, and safety practices while driving or riding.
8. Finally, address the mental health risk section by answering questions regarding your emotional health and daily functioning.
9. Once you have filled out all sections of the form, review your responses for accuracy. When you are satisfied with your entries, you can save your changes, download a copy for your records, and print the form if necessary.
10. When everything is complete, hit the Submit button at the bottom of the form to send your Health Risk Assessment to the appropriate wellness management team.

Start completing your Health Risk Assessment Form online today for a comprehensive evaluation of your health!