
Get the free Annual Health Report - Department of Health - DC.gov - doh dc
Show details
District of Columbia
Department of Health
Behavioral Risk Factor Surveillance System
(BRASS)2014Annual Health ReportNOTICE OF NONDISCRIMINATION
In accordance with the D.C. Human Rights Act of 1977,
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign annual health report

Edit your annual health report form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your annual health report form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing annual health report online
Follow the steps down below to take advantage of the professional PDF editor:
1
Check your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit annual health report. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
The use of pdfFiller makes dealing with documents straightforward.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out annual health report

How to fill out annual health report
01
To fill out an annual health report, follow these steps:
02
Gather all your previous medical records and test results
03
Fill out your personal details such as name, date of birth, address, and contact information
04
Provide information about your current health status, including any existing medical conditions and medications
05
Mention any recent surgeries or hospitalizations
06
Fill out details of any allergies or adverse reactions to medications
07
Mention if you have any family history of genetic diseases or hereditary conditions
08
Provide information about your lifestyle habits such as diet, exercise, smoking, and alcohol consumption
09
Mention any ongoing treatments or follow-ups with specialists
10
Keep the report concise and accurate, providing only relevant information
11
Sign and date the report in the designated section
12
Remember to double-check your entries for accuracy before submitting the report.
Who needs annual health report?
01
An annual health report is typically needed by:
02
- Individuals who are participating in comprehensive health insurance plans
03
- Employees undergoing employment health screenings
04
- Students participating in school or university health programs
05
- Individuals applying for certain jobs that require medical clearance
06
- Individuals who want to keep track of their overall health and have a record for future reference
07
It is always advisable to consult with a healthcare professional or your insurance provider to determine if you need an annual health report.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How can I send annual health report to be eSigned by others?
Once you are ready to share your annual health report, you can easily send it to others and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail, or notarize it online. You can do all of this without ever leaving your account.
How do I make edits in annual health report without leaving Chrome?
Install the pdfFiller Chrome Extension to modify, fill out, and eSign your annual health report, which you can access right from a Google search page. Fillable documents without leaving Chrome on any internet-connected device.
How do I fill out annual health report on an Android device?
Complete your annual health report and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.
What is annual health report?
Annual health report is a document that provides information about the overall health status of an individual or organization for a specific year.
Who is required to file annual health report?
Healthcare facilities, organizations, or individuals may be required to file an annual health report depending on the regulations of their jurisdiction.
How to fill out annual health report?
Annual health reports can usually be filled out online or on paper, following the specific instructions provided by the relevant health authority.
What is the purpose of annual health report?
The purpose of an annual health report is to track and assess the health status and trends of a population or organization over time.
What information must be reported on annual health report?
Information such as demographic data, health conditions, medical treatments, and outcomes may be reported on an annual health report.
Fill out your annual health report online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Annual Health Report is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.