Paperwork for Screening Events
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You will find links to handouts and consent forms, where applicable, that are specific to each service ordered. On the day of your event, please be prepared with enough copies of these forms for your participants, unless specifically arranged with TotalWellness otherwise. Give the copies to the TotalWellness Event Coordinator when he/she arrives to set up for your event.
We recommend photocopying two-page forms on the front and back of one page.
The following lists links to the required paperwork for services ordered:
Blood Pressure: 1. Blood Pressure Handout 2. Blood Pressure Sign up/Consent
Body Mass Index (BMI): 1. BMI Handout 2. BMI Chart
Body Fat: 1. Body Fat Handout
Carotid Artery Ultrasound (CAU): 1. CAU Handout 2. CAU Consent
Cholesterol and/or Diabetes/Glucose: 1. Cholesterol Handout 2. Diabetes Handout
Flexibility: 1. Flexibility Handout
Waist-Hip: 1. Waist-Hip Ratio Handout 2. Waist Circumference Handout
Bone Mineral Density/Osteoporosis: 1. Bone Density Handout 2. Bone Density Sign Up/Consent
Hand-washing Education: 1. Hand-washing Handout
Dermaview: 1. Dermaview Handout 2. Dermaview Sign up/Consent
Fitness/Step & Grip Tests: 1. Fitness/Step & Grip Handout 2. Fitness Test Consent
Finger-Stick consent forms will be provided by the TotalWellness Event Coordinator. Follow the instructions for printing additional consent forms.
- Must be printed on a laser printer.
- Must be printed on the front and back of one sheet of paper with the top of the form facing up on each side.
- No staples.
- Please make sure page scaling is set to none and the page is not set to “auto rotate and center.”
- Do not photocopy.
Employee Request for Copy of Consent Form
Preparing for Your Biometric Screening (Participant Handout)
Pregnancy and Biometric Screening Results (Participant Handout)
If you would like your company’s employees to be able to take advantage of our complementary follow-up counseling, we recommend that you print the Follow-up Counseling Instructions for them. This handout describes how we provide the service, via telephone or email, for up to two weeks after screening. The contact information is also included on our educational handouts. Follow-up counseling is available for most screenings.