Biometric screening form 2026

1. Click ‘Get Form’ to open the biometric screening form in the editor.
2. In Section 1, enter your personal information including your date of birth, first name, last name, and medical ID number. Ensure you provide a daytime contact phone number and select your status as either Spouse/Domestic Partner or Employee.
3. Move to Section 2 and choose between Option A or Option B based on how you will provide your lab values. If you select Option A, ensure you have your lab slip ready to fax along with the form.
4. In Section 3, input your body measurements and biometric results such as height, weight, glucose levels, blood pressure readings, and cholesterol levels. Make sure to include the screening date.
5. If applicable, complete Section 4 by entering the provider's information including facility name and provider's signature if you're not submitting actual lab documents.
6. Finally, sign in Section 5 to consent to share your data with Vivacity. Review all entries for accuracy before submitting.

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