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 September 30, 2021 by 11:59 pm PST. Date of test must be on or after October 1, 2020.

 

Before you submit your form, make sure you have:
  • Completed top section of form
    • Step 1: Fill out your information AND include email address.
    • Step 2: Ensure YOU have signed your form. Without your signature, this form will not be accepted.
  • Asked your physician to complete Step 3 in its entirety

 

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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