Adult Health Assessment

These health questions will help us to better understand how you are feeling. It will help us know what services and resources you will need to stay healthy and feel well. The questions will take you about 15 minutes to complete. If you need help filling out this form, please call us at 800-327-8613 (TTY 711).

As your health plan it is key that we work very closely with your doctors. We make sure you get the care you need. If you give us the OK, we can share this information with your doctors. This will make sure you get good care and help your doctors talk to each other. Without your OK, we will not share any information with anyone.

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