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01. Edit your point of entry hhc online
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Send staff self screening nychhc via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out self screening with our platform
- Click ‘Get Form’ to open the self screening document in the editor.
- Begin by entering your personal information, including your name, phone numbers, and address. This ensures that all contact details are accurate for any follow-up.
- Fill in your physician's name and phone number, along with your age and sex. This information is crucial for health assessments.
- Provide emergency contact details, including their name, relationship to you, and phone number. This is important for safety during training.
- Indicate if you are currently taking any medications. If yes, list them clearly in the provided space.
- Answer the questions regarding your medical history honestly. For each condition listed, select 'Yes' or 'No' as applicable.
- If you answered 'Yes' to any of the medical history questions, provide explanations in the designated area below those questions.
- Finally, outline your current exercise program and state your fitness goals in the respective sections to help tailor your training plan.
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