Jamestown Regional Medical Center Health Screening Options

The offsite biometric screening form is used for those who are unable to attend an onsite screening and/or choose to submit results obtained by a physician.

 

Completed form is due on or before October 31, 2019 by 11:59 pm CST. Date of test must be on or after January 1, 2019.

 

Before you submit your form, make sure you have:

 

To submit your form, complete the fields below. Click browse to load your document, then click Upload.

 

Personal Details
 Date Format: YYYY-MM-DD
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For assistance, please contact US Wellness at (301) 926-6099 x900.