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Health risk assessment 2026

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The document is a Health Risk Assessment for the Healthy Michigan Plan, aimed at gathering personal health information to improve healthcare services for beneficiaries. It emphasizes the importance of annual check-ups, confidentiality of provided information, and offers assistance for completing the assessment. The form includes questions about general health, lifestyle habits, and readiness to change unhealthy behaviors. It also outlines steps for beneficiaries to take after their appointment and provides contact information for support.

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Click ‘Get Form’ to open the Health Risk Assessment in the editor.
Begin by filling out your personal information in the designated fields, including your name, date of birth, and contact details. This ensures that your health plan can accurately identify you.
Proceed to Section 1, where you will answer initial assessment questions. For each question, select the option that best describes your current health status. Remember, you are not required to answer all questions.
In Section 2, provide details about your upcoming annual appointment. Specify the date and any topics you wish to discuss with your doctor during this visit.
Move on to Section 3, where you'll reflect on your readiness to make healthy changes. Use the scale provided to indicate your interest and support for lifestyle modifications.
Finally, ensure that Section 4 is completed by your primary care provider after your appointment. They will assess and document your progress towards health goals.

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