Get Go365tm Biometric Screening

The Go365TM Biometric Screening is a valuable tool for individuals looking to track their health and earn Points through a wellness program. This guide will provide you with detailed, step-by-step instructions to successfully complete the form online.

Follow the steps to complete your Go365TM Biometric Screening form online.

1. Press the ‘Get Form’ button to access the Go365TM Biometric Screening form, which will open in your online form editor.
2. Begin by filling out Section A, which includes your member information. Provide your first name, last name, member/subscriber ID number, date of birth, and phone number. Make sure to attest to the consent for the release and use of your information.
3. After completing Section A, ensure you schedule your appointment with your chosen healthcare provider. Inform them of the specific measurements you require for the screening, as this will guide the assessment needed.
4. Once your appointment is complete, take the form with you to your provider. They will fill out Sections B, C, D, and/or E based on your measurements or tests required.
5. Section B will contain your provider’s information, including their name, address, national provider ID or CLIA number, and phone number. Confirm that this section is filled out accurately.
6. In Section C, the healthcare provider will input your body and blood pressure measurements such as height, weight, blood pressure readings, and body mass index.
7. If applicable, Section D will include clinical laboratory test results such as fasting blood glucose and cholesterol levels. Ensure these are accurately recorded by your provider.
8. Finally, the provider will complete Section E by certifying the results, adding their name, title, and signature, followed by the date.
9. After the form is fully completed, you can choose to send it to Go365 by fax or mail. Ensure you keep a copy for your records. You are also responsible for confirming that the form has been received by Go365.

Complete your Go365TM Biometric Screening form online today and take the next step towards better health!