RPI Comprehensive Screening Appointment
All employees are welcome!
You do not need to be a CDPHP Member to participate.
Your individual results will be kept confidential and will not be shared with your employer.
Name
*
First Name
Last Name
Email
*
You will receive a confirmation and reminder emails at this address you provide.
Phone number
*
The best number to reach you on the day of the screening
Format: (000) 000-0000.
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Are you a CDPHP member?
*
Yes
No
If you are a CDPHP Member:
Please bring your
CDPHP ID card
.
You may earn
CDPHP Life Points Rewards
for completing a screening.
Your health screening results will not affect your CDPHP health care coverage, eligibility, premiums, or claims payment.
Appointment
*
Schedule
Should be Empty: