Information gathered in the survey process is kept in a confidential manner that abides by all privacy and security regulations and provisions of Hendricks Regional Health. If requested and applicable, your name and date of birth only may be released to your employer for incentive rewards.
Assumption of Risks and Release. I recognize that there are certain risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Hendricks Regional Health for injury, loss, or damage of arising out if my use or presence upon the facilities of Hendricks Regional Health, whether caused by the fault of my own, Hendricks Regional Health, or other third parties.
Information obtained from this screening is not exhaustive and does not cover all diseases, ailments, or physical conditions. It should not be used in place of a visit or consultation with your physician or other qualified healthcare provider. No part of the screening is intended to provide definitive diagnosis or treatment. Should you have any health related questions, please see your physician or other qualified healthcare provider promptly. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program.
After you attend a health risk assessment and bio-metric screening, you will be able to view your results in approximately one week via My Chart. Additionally, you may receive correspondence about wellness programs that may benefit your unique health circumstances.
By participating in this screening you are consenting to the above.
Copy of Information gathered in the survey process is kept in a confidential manner that abides by all privacy and security regulations and provisions of Hendricks Regional Health. If requested and applicable, your name and date of birth only may be released to your employer for incentive rewards.
Assumption of Risks and Release. I recognize that there are certain risks associated with the above described activity and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge Hendricks Regional Health for injury, loss, or damage of arising out if my use or presence upon the facilities of Hendricks Regional Health, whether caused by the fault of my own, Hendricks Regional Health, or other third parties.
Information obtained from this screening is not exhaustive and does not cover all diseases, ailments, or physical conditions. It should not be used in place of a visit or consultation with your physician or other qualified healthcare provider. No part of the screening is intended to provide definitive diagnosis or treatment. Should you have any health related questions, please see your physician or other qualified healthcare provider promptly. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program.
After you attend a health risk assessment and bio-metric screening, you will be able to view your results in approximately one week via My Chart. Additionally, you may receive correspondence about wellness programs that may benefit your unique health circumstances.
By participating in this screening you are consenting to the above.