Member materials and tools

Complete health assessment

We want to help you feel better and enjoy a healthy life. The Health Assessment helps us understand what care you or your child needs.

These questions will help us understand how you are feeling. It will help us know what services and tools you need to stay healthy and feel good. The questions will take you about 15 minutes to answer. If you do not understand any of the questions or need help with the form, please call us at 800.327-8613.

Adult Health Assessment

Child Health Assessment

 

The Adobe Reader is required to view PDF files.