Get Medicare Health Risk Assessment Form 2020 Pdf

Completing the Medicare Health Risk Assessment Form is a crucial step in maintaining your health and wellness. This guide provides clear, step-by-step instructions to help you fill out the form accurately and efficiently online.

Follow the steps to successfully complete your Medicare Health Risk Assessment form.

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. Enter your personal information at the top of the form, including your name, date of birth, and today's date.
3. In the first section, please list any updates to your past medical history. Include any serious illnesses, injuries, surgeries, or hospital stays along with their dates.
4. In the second section, provide your latest health readings. Circle the appropriate responses for blood pressure, total cholesterol, and fasting blood glucose.
5. In the third section, list any other physicians or healthcare providers you see, along with the specific health problems you consult them for.
6. For the fourth section, indicate where you obtain your medications and medical supplies. This includes pharmacies and any specific supplies you may need.
7. In the fifth section, circle any relevant family health conditions such as alcoholism, diabetes, or heart disease.
8. The next sections will ask about your tobacco and alcohol use. Respond accordingly and indicate if you are interested in quitting tobacco.
9. Continue filling out the general health section by selecting options that best describe your current health status and experiencing any pain.
10. Indicate if you need help with daily living activities in the activities of daily living section.
11. In the physical activity section, provide details about your exercise frequency and intensity.
12. Complete the nutrition section by stating your typical servings of fruits, vegetables, and other foods.
13. Lastly, answer the questions regarding your mental health, emotional support, and stress levels.
14. Once all sections are completed, review your entries for accuracy. You can then save the changes to the form, download it, print a copy, or share it as needed.

Start completing your Medicare Health Risk Assessment Form online today for improved health management.