Printable Biometrics Form PDF with Room for Logo - Handout - Health Fair - Corporate Wellness and Screening

Siobhan Donegan, MS, RD, Vermont Dept of Health requested this form so she could use it to assess women in their women's health program. Of course it can assess anyone but the most important request was, "I am looking for a simple and customize-able low-literacy biometric screening sheet describing the following risk factors with a field to enter each reading....(list)."

We talked to our graphic designer and she created this form.

It allows people to enter all of the most important data to help them assess their current health and start improving the areas that need help. It is like a "health-at-a-glance" sheet that depends on basic biometric measurements. A Biometric Screening is simply a tool which provides a clinical assessment of key health measures.

1. BMI
2. Waist Circumference
3. A1C
4. Blood Glucose
5. Blood Cholesterol including HDL, LDL, total and triglycerides
6. Blood Pressure

Best of all there is a little blank spot at the bottom left of this PDF. What can you put in that spot? Why not handwritten notes to the attendee, your logo, or some other important message. You can have a graphic artist or anyone good with Adobe Acrobat Pro or Adobe Photoshop to enter the logo or message in the PDF and then print yourself or have it printed. 

Print as many as you like as often as you like!

This PDF comes with a license to reproduce at one site. If you need more sites just ask and we are happy to provide a cost effective license for all of your needs. Click contact us at the bottom of the site or call 800-462-2352.

Stats:

Format: Printable and Downloadable PDF file that is sent to your inbox upon receipt of paid order (and correct email address so take care on your order). If you are looking for a printed, shipped tearpad click here. 

Size: Letter, Portait 8.5" x 11"

Language: English

Licensing: One site, unlimited use

Number of pages: 1

Customizable: Yes - add your logo using Adobe Acrobat Pro or Adobe PhotoShop or we can do it for a $35 fee. Please allow 2-3 days for service. Send us an email by clicking contact us at the bottom of this site and we will send invoice and instructions.