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Wellness Screening Registration Information (Please print legibly) Name: Employee ID# Sex: Date of Birth: (mm/dd/year) Preferred Phone: Address: City: State: Zip: Email Address: Medical Authorization
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How to fill out wellness screening

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How to fill out a wellness screening:

01
Gather the necessary information: Before starting the wellness screening, gather all the relevant information you may need to answer the questions accurately. This may include details about your medical history, current medications, and any pre-existing conditions.
02
Begin the screening process: Start by carefully reading each question on the wellness screening form. Take your time to understand the question before proceeding to the next one.
03
Provide honest and accurate answers: It is important to answer each question truthfully and to the best of your knowledge. Remember that the purpose of a wellness screening is to assess your overall health and wellbeing, so providing accurate information is crucial for accurate results.
04
Double-check your answers: Once you have completed the wellness screening, take a moment to review your responses. Make sure you haven't missed any questions and that your answers are clear and accurate.
05
Seek assistance if needed: If you encounter any difficulties or have questions while filling out the wellness screening, don't hesitate to seek assistance. Reach out to the appropriate healthcare professional or the staff in charge to ensure that you correctly complete the screening process.

Who needs wellness screening:

01
Employees: Many companies and organizations require their employees to undergo regular wellness screenings as part of their workplace wellness programs. These screenings help identify potential health risks or concerns, allowing for early detection and intervention.
02
Individuals seeking preventive healthcare: Even if it is not mandatory, anyone interested in maintaining their overall health and catching potential health issues early may choose to undergo a wellness screening. It can serve as a proactive step towards preventive healthcare and ensuring one's well-being.
03
Individuals with specific health concerns: People with specific health concerns, such as a family history of certain diseases or pre-existing conditions, may benefit from regular wellness screenings. These screenings provide valuable information that can guide healthcare professionals in monitoring and managing their health more effectively.
Remember, always consult with your healthcare provider or follow the guidelines and recommendations provided by your employer or healthcare system when filling out a wellness screening. These instructions may vary depending on the specific requirements and purpose of the screening.
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