Biometric screening form 2025

1. Click ‘Get Form’ to open the biometric screening form in the editor.
2. In Section 1, enter your personal information including your first name, last name, date of birth, gender, and contact details. Ensure all fields are filled accurately.
3. Proceed to Section 2 and select either Option A or B based on who will complete Sections 3 and 4. If you choose Option A, ensure you have your lab values ready to input.
4. In Section 3, input your body measurements and biometric results such as height, weight, glucose levels, and blood pressure. Double-check for accuracy.
5. If you selected Option B in Section 2, ensure your provider fills out Sections 3 and 4 with their information before signing.
6. In Section 5, sign and date the form to confirm your understanding of data sharing policies.
7. Finally, review Section 6 to confirm all sections are completed before faxing the form to the provided number.

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