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:
Invalid ID
*First Name:
*Last Name:
*Phone Number:
*Date of Birth:
month
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12
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/
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*Gender:
Male
Female
Questions
When was your last physician visit?
Within the last 6 months
Within the last year
Within the last 2 years
Other
How many times have you been admitted to the hospital or have been seen in the emergency room within the last 2 years?
Zero
1-3 Times
4-6 Times
Other
Within the last 6 months how many new medications have you been prescribed?
Zero
1-3
4-6
Other
In the past two weeks, how often have you felt anxious or depressed?
Almost always
Most of the time
Half of the time
Rarely
Never
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?
Yes
No
Don't Know
Currently how many healthcare needs do you have that has not been address by a physician?
Zero
1-2
3-4
Considering your age, how would you describe your overall health?
Excellent
Good
Fair
Poor