Healthy tigers screening form 2026

1. Click ‘Get Form’ to open the Healthy Tigers Screening Form in the editor.
2. Begin by filling out Section 1. Enter your name, employee ID, age, date of birth, and gender. Ensure all information is accurate.
3. Provide your insurance details by entering the subscriber name and AU BCBS contract number. Include your daytime or campus phone number and email address.
4. Indicate your employment status regarding AU BCBS coverage by checking the appropriate box.
5. Select your race/ethnicity from the provided options. This information is important for health assessments.
6. Mark any health conditions you have or have been told you had, as well as any medications you take for those conditions.
7. In Section 2, ensure your healthcare provider completes the required data fields accurately, including blood pressure and cholesterol levels.
8. Once completed, review all sections for accuracy before submitting the form to AUPCC using our platform’s submission features.

Start filling out your Healthy Tigers Screening Form today for free on our platform!