Edit, Download, and Sign the Bombardier Preventive Biometric Screening Form
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How do I fill this out?
To fill out this form, start by entering your personal details like your name and employee ID. Ensure all health metrics are provided, including height, weight, and blood pressure. Finally, make sure to sign and submit the form to Virgin Pulse.
How to fill out the Bombardier Preventive Biometric Screening Form?
1
Enter your personal information at the top of the form.
2
Provide your health metrics in the designated sections.
3
Have your health care provider fill out their section if required.
4
Sign the form to confirm your consent.
5
Submit the completed form via email or fax.
Who needs the Bombardier Preventive Biometric Screening Form?
1
Bombardier employees who participate in the wellness program need this form for health assessment.
2
Spouses of Bombardier employees who wish to participate in the program require this form.
3
Health care providers may need this form to submit screening results for their patients.
4
Wellness program coordinators at Bombardier utilize this form for tracking rewards.
5
Employees needing to verify their health metrics for benefits eligibility will need this form.
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What are the instructions for submitting this form?
Submit the completed form by emailing forms@virginpulse.com or faxing it to 508-302-0055. Ensure the form is fully filled out and legible to avoid processing issues. If you have any questions during the submission process, please contact Virgin Pulse support for assistance.
What are the important dates for this form in 2024 and 2025?
Specific important dates for 2024 and 2025 will be established and communicated by Bombardier. Keep an eye on announcements related to submission deadlines and program updates. Make sure to mark your calendars for timely submissions.
What is the purpose of this form?
The purpose of this form is to collect essential health information from Bombardier employees and their dependents as part of the wellness program. This data aids in tracking health metrics, rewarding participation, and ensuring compliance with health assessments. Timely and accurate submission of the form is crucial for employees to receive the benefits associated with their wellness program participation.
Tell me about this form and its components and fields line-by-line.
- 1. Employee ID: Unique identifier for Bombardier employees.
- 2. Personal Information: Details such as name and date of birth.
- 3. Health Metrics: Information including height, weight, and blood pressure.
- 4. Consent Section: Signature acknowledging the release of health information.
- 5. Provider Information: Details provided by a health care provider.
What happens if I fail to submit this form?
Failing to submit this form can result in delays in processing your wellness rewards. Additionally, incomplete or illegible submissions may lead to denial of benefits. Ensuring that all information is correct is vital for successful participation.
- Processing Delays: Late or incomplete forms may not be processed, delaying rewards.
- Reward Status Impact: Failure to submit can negatively affect your eligibility for wellness rewards.
- Lack of Health Tracking: Without submission, health metrics may not be tracked, impacting overall health assessments.
How do I know when to use this form?
- 1. Wellness Program Participation: Use this form to enroll in the Bombardier wellness program.
- 2. Health Metrics Submission: Employ this form to submit your health results from your physician.
- 3. Reward Eligibility: Complete this form to ensure you qualify for wellness rewards.
Frequently Asked Questions
What is the purpose of the Bombardier Screening Form?
The form is used to submit health metrics and participate in the wellness program.
How do I submit the completed form?
You can email it to forms@virginpulse.com or fax it to 508-302-0055.
What happens if I don't submit the form on time?
Late submissions may not be processed, affecting your reward status.
Can I edit this PDF on PrintFriendly?
Yes, PrintFriendly allows you to edit the PDF easily before submission.
Is there assistance available for filling out the form?
Yes, you can contact Virgin Pulse support for guidance.
What if I don't know my Employee ID?
You can find your Employee ID on the Bombardier Benefits Toolbox home page.
Are there deadlines for submission?
Yes, please refer to the important dates section for specific deadlines.
Who needs to sign the form?
Both the participant and the health care provider need to sign the form, if applicable.
What information do I need to provide?
You need to provide personal details and health metrics including blood pressure and cholesterol levels.
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