TAKE ACTION You choose. Quest Diagnostics By fax: 877-567-1407 By email: DGXDataIntake@questdiagnostics.com To earn Journey to Well-Being points for a preventive screening, you and your provider must complete and submit this form to In addition to onsite biometric screenings, we offer lab screenings, physician form screenings, and home test kits. Schedule an appointment with your physician to complete your Biometric Screening and earn 100 points. That's why Be Well SHBP offers the Well-Being Assessment (WBA). Participant Acknowledgement and Signature 5. Biometric Screening values reported on this form will be used to determine if you have earned a bonus reward for 2019. Eligible SHBP/SEHBP members and their covered spouses/partners may ask you to complete a NJWELL Physician Results Form. Our biometric health screenings are quick and easy! Bewellshbp.com: visit the most interesting Be Well SHBP pages, well-liked by users from USA, or check the rest of bewellshbp.com data below.Bewellshbp.com is a low-traffic web project, safe and generally suitable for all ages. Complete your WBA, then use the tools that make sense to you. Biometric Screening at a SHBP sponsored screening event or as part of a physician’s office visit or annual preventive examination. Assessment between January 1, 2012, and June 30, 2012; and 2) Obtain an approved biometric screening between July 1, 2011, and June 30, 2012. That's why Be Well SHBP offers the Well-Being Assessment (WBA). Health Details: The 2021 Physician Screening Form is a form that your physician can complete with biometric results from your next well-being visit or annual physical exam.Download a 2021 Physician Screening Form by clicking below and print a copy to take with you to your doctor’s appointment. The 2020 Physician Screening Form is a form that your physician can complete with biometric results from your next well-being visit or annual physical exam. Results from SHBP sponsored worksite Be Well Solutions offers a variety of engaging, educational and affordable biometric screening programs that assess risk factors and provide understandable feedback about the results. Health Details: Biometric Screenings - Be Well SHBP.Health Details: The 2020 Physician Screening Form is a form that your physician can complete with biometric results from your next well-being visit or annual physical exam.Download a 2020 Physician Screening Form by clicking below and print a copy to take with you to your doctor’s appointment. Experience stress free biometric screenings with Onsite Health Diagnostics, the leader in health and wellness clarity. Biometric Screenings/Physician Forms During the private biometric screening, a health professional will collect measurements, including height and weight. We hope you take advantage of this free service. Healthlifes.info Biometric Screenings - Be Well SHBP. Get a Biometric Screening A biometric screening is a quick and easy check-up that helps evaluate your health and may pinpoint health issues before they become detrimental. Have your health care professional complete the Wellness Screening Section. Choose from additional health screenings and/or. Preventive/Biometric Screening Completion Form Submit this completed form to Quest Diagnostics between Jan. 1 and Oct. 31, 2020. Required field . Instruct the physician to complete biometric screening, record the required data in SECTION 2 and SECTION 3 and fax the form directly to SHBP Administrator at 1-866-380-5068. Blood Pressure. The biometric screening must be completed at a SHBP-sponsored biometric screening event or by your physician in their office and your results submitted appropriately on the 2017 Physician Screening Form. Download the Physician Results Form from the site listed below and take it with you to your appointment for completion. • At an SHBP-sponsored screening event or • With your Physician using the Healthways 2016 Physician Screening Form. Your individ-ual results are private and confidential and will not be shared with your employer or the Ohio Bureau of Workers’ Compensation. Please complete SECTION 2 and SECTION 3 below, sign in SECTION 3, and fax the completed form to 1-866-380-5068 no later than 4:30 pm EST on May 31, 2013. Who is Be Well Solutions. ONSITE SCREENING APPOINTMENTS NOW Be Well SHBP BeWellSHBP.com 888-616-6411 DON’T MISS OUT Hundreds of SHBP worksite locations throughout Georgia will offer SHBP-sponsored onsite biometric screening events between February and September 2017 to help you learn key numbers that evaluate your current health and help pinpoint health issues. It's not only convenient and easy to use, but the Well-Being Report and Plan teach you about your health status and what you can do to stay well, get the right care, and follow through with manageable steps toward your well-being goals. Non-smoker. * There is no additional cost to SHBP members or covered spouses for participating in a screening through their physician as long as the screening is completed as part of a preventive visit with an in-network physician and properly coded as preventive. Cholesterol. With assistance from Kaiser Permanente’s healthy living classes, wellness coaching and online programs, you will be well on your way to living a healthier life in 2017. NJWELL Physician Biometric Health Screening Form ... consent is provided by the SHBP/SEHBP member. Make sure you sign the form as well. Complete a biometric screening (body mass index, blood pressure, cholesterol, glucose). You will receive current and accurate lab results that you can share with your doctor. Download a 2020 Physician Screening Form by clicking below and print a copy to take with you to your doctor’s appointment. Online Coaching ** * If recommended by your physician. SHBP Biometric Screening Scheduling Request SHBP Biometric Screening Scheduling Request. WELL-BEING PHONE COACHING 1590 Adamson Parkway, Fourth Floor Morrow, Georgia 30260-1755. Be Well Shbp Biometric Screening Form Health. To participate in NJWELL, eligible members must have a health screening measuring blood pressure, total cholesterol, blood glucose levels and BMI to help them identify potential health risks. Learn how you can bring biometric screenings to … Biometric measurements are key components in risk assessment both on an organizational and individual level. All fields are required. What can you expect when you attend a SHBP-sponsored biometric screening event? Return this form completed and signed to your onsite WellNurse by November 30, 2018. 2013 State Health Benefit Plan (SHBP) Fax to - 1-866-380-5068 Biometric Screening - PHYSICIAN SCREEENING FORM CIGNA Select screening county * Select screening city * Select screening site name * Click here if your screening county, screening city, or screening site name do not appear in … A health screening helps you learn about your biometric numbers. Complete a 2017 biometric screening and submit your results (body mass index, blood pressure, cholesterol, glucose). Age/gender Screenings * Dental Exam. The following measures must be collected and reported through the screening entity or via this FAX Form sent directly from the Physician’s office. It's not only convenient and easy to use, but the Well-Being Report and Plan teach you about your health status and what you can do to stay well, get the right care, and follow through with manageable steps toward your well-being goals. Health Details: The 2020 Physician Screening Form is a form that your physician can complete with biometric results from your next well-being visit or annual physical exam.Download a 2020 Physician Screening Form by clicking below and print a copy to take with you to your doctor’s appointment. Health Details: The 2021 Physician Screening Form is a form that your physician can complete with biometric results from your next well-being visit or annual physical exam.Download a 2021 Physician Screening Form by clicking below and print a copy to take with you to your doctor’s appointment. A high-level summary of the aggregate results will be provided to the NJWELL Coordinator(s) to better understand the impact their efforts are having on the overall health and well-being of the SHBP/SEHBP members. The approved biometric screening requirement can be satisfied by participating in a SHBP sponsored worksite screening event or as part of a physician’s examination. Download the Physician Results Form from the site listed below and take it with you to your appointment for completion. A sample of your blood will be taken to determine your cholesterol and glucose levels, triglycerides and other factors that … Be Well Solutions (BWS) is a comprehensive corporate wellness company staffed by professionals experienced in patient care and education. For questions about the 2021 Physician Screening Form, or login assistance please contact Sharecare Customer Support at (888) 616-6411. Biometric Screenings - Be Well SHBP. If you completed a biometric screening since July 1, 2012 you may take the form to your physician and request completion Annual Physical Exam. Details: Biometric Screening: Earn 120 well-being incentive points for completing a biometric screening. Vision Exam. 3. activities to earn points! Our focus is to build custom employee wellness programs including corporate biometric screenings, health risk assessments, onsite flu clinics and more. The 2017 incentives do not apply to Kaiser Permanente or the Medicare Advantage Options. Health ... CareFirst BioMetric Screening Form Edited1.25. Glucose. complete your Biometric Screening and earn 100 points. 2) Submit Your Form Forms can be mailed, faxed, or submitted online per the instructions at the top of the Biometric WBA + Biometric Screening = 240 well-being incentive credits WBA + Phone Coaching or Online Tracking = 240 well-being incentive credits 2. Details: Completing your biometric screening is easy and convenient. To obtain a 2021 Physician Screening Form or to upload a completed form, please fill out the fields below and click submit. A high-level summary of the aggregate results will be provided to the NJWELL Coordinator(s) to better understand the impact their efforts are having on the overall health and well-being of the SHBP/SEHBP members. Submit the form through the portal or fax the form to the number listed on the form. well-being stands. Skin Cancer Screening. biometric screening form Workplace Screening – Let Our Team Meet Yours. shbp health benefits Biometric Screenings - Be Well SHBP. results to be submitted to SHBP as detailed on the previous page. Phone: (770) 282-6300 | Fax (770) 282-6368 Flu Shot. NJWELL Physician Biometric Health Screening Form ... consent is provided by the SHBP/SEHBP member. Biometric Screenings - Be Well SHBP. Submit the form through the My.QuestForHealth.com portal or fax the form to the number listed on the form. We found that English is the preferred language on Be Well SHBP pages. Health Details: HEALTH SCREENING FORM As part of the CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. Blue Rewards program, you are eligible to receive a health screening. Have your health care professional complete and sign the health care professional/doctor information section.