WELCOME TO COMMUNITY!   (haga clic aquí para la versión en español)
We are happy to have you as our Member. Community is dedicated to providing you great health care. We also want to help you take charge of your own health! Please take our Health Risk Assessment. We will keep your answers private and only use them to improve the care that we give you. Fill out the survey and submit. We will review it and contact you if we see any potential issues. In addition, share your results with your doctor.

Thank you for helping Community serve you better!

MARKETPLACE MEMBERS:
Take your Health Risk Assessment by logging in to your Member Portal account at memberaccount.communityhealthchoice.org.
Don’t have an account? Setting one up is easy and takes less than five minutes.

*Member ID:
*First Name:  
*Last Name:  
*Phone Number:  
*Date of Birth:
                        
*Gender:  

Questions

When was your last physician visit?




How many times have you been admitted to the hospital or have been seen in the emergency room within the last 2 years?




Within the last 6 months how many new medications have you been prescribed?




In the past two weeks, how often have you felt anxious or depressed?





In general do you have any issues with transportation or anything else that would prevent you from getting to your physician appointments or obtaining your medications?



Currently how many healthcare needs do you have that has not been address by a physician?



Considering your age, how would you describe your overall health?