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Health Screening Form - Optima Health website 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Section 1, where you will enter your personal information. Fill in your name, phone number, date of birth, and employee number.
  3. Respond to the tobacco usage question by circling 'Yes' or 'No'. Then indicate your physical activity frequency by selecting one of the options provided.
  4. Read and acknowledge the liability release statement. Ensure that all information is accurate before signing your name and dating the form.
  5. If applicable, Section 2 must be completed by a health professional. They will provide details such as height, weight, cholesterol levels, and blood pressure.
  6. Once both sections are complete, send the form via fax or mail as instructed at the bottom of the document. Remember to keep a copy for your records.

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