Health risk assessment 2026

1. Click ‘Get Form’ to open the Adult Health Risk Assessment in the editor.
2. Begin by entering your personal information, including your name, address, and contact details. Ensure accuracy as this information is crucial for your health plan.
3. Indicate your primary care provider's name and phone number. If you need assistance selecting a provider, check 'Yes' or 'No' as applicable.
4. Fill out the sections regarding your physical and behavioral health. Circle the numbers that best describe your health status and limitations in daily activities.
5. Complete the preventive health section by answering questions about smoking habits, alcohol consumption, and exercise routines. This helps assess your overall wellness.
6. Review all entries for completeness and accuracy before submitting. Once satisfied, follow the instructions to mail back the form using the provided envelope.

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