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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1 as the participant. Provide your gender, name, age, date of birth, employee status, employee ID, email address, and phone number.
Sign and date the form at the bottom of Section 1 to authorize your healthcare provider to send results to Provant.
In Section 2, your healthcare provider will need to complete their part. Ensure they provide results from a preventative exam within the last 12 months using the specified CPT codes.
Make sure your healthcare provider fills in all required fields including cholesterol levels, blood pressure, BMI, and waist circumference. They should also sign and date this section.
Once completed, submit the form via fax or mail as indicated on the document. Remember that all information is confidential.
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A biometric screening, or biometric assessment, is a clinical screening performed for employees at a companys workplace or a commercial lab facility. Its used to identify and monitor certain health conditions such as heart disease and diabetes.
What is a biometric screening at UPS?
You should not eat anything at least 8 hours prior to your test. It is important to fast for at least 12 hours. Water is allowed though. You should not chew gum, smoke, or exercise before your test because all these activities can stimulate your digestive system and affect test results.
How do I pass a biometric screening?
A biometric screening is a quick assessment that measures key health indicators like body composition, blood pressure, cholesterol levels, and blood glucose. It provides a snapshot of your health in about 15-20 minutes.
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