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Biometric screening form 2026
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- Click ‘Get Form’ to open the biometric screening form in the editor.
- Begin by entering the 'Screening Date' and your 'Date of Birth'. Fill in your 'Age' and select your 'Gender' (M or F).
- 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.
- Input your email address. If you are an NCH spouse, include the employee's name as well.
- Fill in the name of your health care provider. Indicate whether you smoke or use tobacco products by selecting YES or NO.
- Complete the biometric results section by entering your height, weight, cholesterol levels, blood pressure, waist measurement, glucose levels, and A1C percentage as required.
- Finally, ensure that all fields are filled accurately before submitting the form via email or fax as indicated.
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