Get the free 2015 State of Wisconsin Health Screening Fax Form

This form is used to submit health screening numbers collected between January 1 and December 28, 2015, and requires all fields to be filled clearly in order to be processed.

How to fill out 2015 state of wisconsin

How to fill out 2015 State of Wisconsin Health Screening Fax Form

1. Obtain the 2015 State of Wisconsin Health Screening Fax Form from the appropriate health department or official website.
2. Fill out the 'Participant Information' section, including your name, address, date of birth, and contact details.
3. Complete the 'Health Screening Information' section by providing relevant health data as requested, such as height, weight, and any existing health conditions.
4. If required, fill out the 'Employer Information' section with your employer's details.
5. Sign and date the form at the designated area to verify the accuracy of the information provided.
6. Review the form thoroughly for completeness and accuracy.
7. Fax the completed form to the designated fax number provided on the form.

Who needs 2015 State of Wisconsin Health Screening Fax Form?

1. Individuals participating in state-sponsored health programs in Wisconsin.
2. Employees seeking to participate in workplace wellness programs.
3. Persons looking to submit health screening results to qualify for health insurance incentives.

People Also Ask about

Is BadgerCare the same as Medicaid in Wisconsin?

BadgerCare Plus is a separate program from Medicaid. It offers similar benefits and also targets low income and disabled residents but has different parameters and eligibility.

What is a communicable disease screening?

Infectious disease screening is defined as the process of testing individuals for infectious diseases, such as , typically conducted on a voluntary basis without coercion, allowing patients to decline and ask questions.

How do I contact ForwardHealth Wisconsin?

Contact Information (800) 362-3002. 1 (800) 291-2002. Forward Health. , WI.

For pdfFiller’s FAQs

What is 2015 State of Wisconsin Health Screening Fax Form?

The 2015 State of Wisconsin Health Screening Fax Form is a document used by employees to report their health screening results to their employer or health plan provider, as part of a health promotion program.

Who is required to file 2015 State of Wisconsin Health Screening Fax Form?

Employees participating in a health screening program set forth by the State of Wisconsin or those required by their employer to submit health information.

How to fill out 2015 State of Wisconsin Health Screening Fax Form?

To fill out the form, individuals need to provide personal identification information, record their health screening results, and ensure that all sections are completed accurately before submitting the form via fax.

What is the purpose of 2015 State of Wisconsin Health Screening Fax Form?

The purpose of the form is to collect health data from employees to assess their health status and to inform health benefits management and wellness programs.

What information must be reported on 2015 State of Wisconsin Health Screening Fax Form?

The form must report personal details such as name, employee ID, date of birth, as well as health screening results including blood pressure, cholesterol levels, and other relevant health metrics.