Biometric screening form 2026

1. Click ‘Get Form’ to open the biometric screening form in the editor.
2. Begin by entering the 'Screening Date' and your 'Date of Birth'. Fill in your 'Age' and select your 'Gender' (M or F).
3. Provide your 'First Name', 'Last Name', and 'Phone Number'. Enter your 'Employee ID #' and indicate if you are an NCH spouse, including your SSN if applicable.
4. Input your email address. If you are an NCH spouse, include the employee's name as well.
5. Fill in the name of your health care provider. Indicate whether you smoke or use tobacco products by selecting YES or NO.
6. Complete the biometric results section by entering your height, weight, cholesterol levels, blood pressure, waist measurement, glucose levels, and A1C percentage as required.
7. Finally, ensure that all fields are filled accurately before submitting the form via email or fax as indicated.

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