Part II Self Health Check Up Questionnaire For Chest
To view this form, use the grey colored bar along the right side of your screen and scroll down, so that the top of this form is at the top of your screen. This will allow you to see the box where you need to make your electronic signature.
Be sure to follow the red tag cursor along the left side of the form, indicating if it is REQUIRED for you to complete the boxes, or else you will not be able to submit this form. All other boxes are optional for you to fill in or leave blank.
Best wishes to you and we hope that you have a Healthy Check Up!