Biometric Screening Vouchers

Version 9

    Below are the Biometric Screening vouchers/forms that you will need to complete your screening:

     

    Go365 Biometric Screening Form

    Take this form with you if you are completing your Biometric Screening at your Primary Care Physician's office (PCP). Copay and lab fees may apply.

     

    The Little Clinic Voucher

    Take this voucher with you if you are completing Biometric Screening at The Little Clinic at Kroger. There will be at no cost to you.

     

    Walgreens Healthcare Clinic Voucher

    Take this voucher with you if you are completing your Biometric Screening at the Walgreen's Healthcare Clinic. There will be no cost to you.

     

    Click HERE if you would like to find a location near you.

     

    *Note: If you choose to complete your Biometric Screening at your local Health Department, the necessary forms and paperwork will be provided to you. You will need to bring a photo ID and your HumanaVitality/Go365 member ID number.