1 - No-Cost Health Risk Assessment

  • No-Cost Health Risk Assessment

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  • NO-COST Health Risks Assessment

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  • We appreciate your interest in receiving care at Insyte.

    Your well-being is important to us, and we're here to support you. To ensure you receive the best care possible, kindly answer a few questions that will help us identify any potential health risks and tailor our preventive and diagnostic screenings to your specific needs.

  • Are you a current or former user of tobacco products? (Cigarettes, cigars, vape, etc)*
  • How often do you or did you use tobacco products?*
  • Are you vaccinated against Covid-19?*
  • Did you get vaccinated against the Flu in 2022?*

  • Let's answer a few questions about your health:

  • Do any of your family members and relatives have or had any kind of cancer?*
  • Are you experiencing any unexplained weight loss?*
  • Are you experiencing abdominal or rectal pain?*
  • Are you experiencing difficulty or are in pain while urinating?*
  • Do you have lower back pain on either side of the body?*
  • Have you had more than one sexual partner or have engaged with unprotected sex in the past year?*
  • Have you ever had a sexually transmitted infection (STI) such as syphilis, chlamydia, gonorrhea, herpes, or genital warts*
  • Are you experiencing any of these symptoms?*
  • How about these symptoms?*

  • Consent

  • By signing below, you agree to all terms and conditions set forth by Insyte Biomed, LLC, particularly but not limited to, the company's policies on HIPAA, the No Surprises Act, Returns and Exchanges, and Privacy.

  • I would like to subscribe to the communications, educational materials, and other promotions of Insyte Biomed and its affiliates*
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