When you complete the HAT you may not have all the ...



2021 State of New Hampshire Health Assessment Tool (HAT) Worksheet

You can complete the Health Assessment Tool (HAT) through Mobile Health Consumer. With access to a confidential health assessment, personalized digital health coaching and on-demand wellness resources – all at no cost to you – Mobile Health makes focusing on your well-being easier and more convenient.

Here is a worksheet that will help prepare you to complete the HAT. You may want to ask your health care provider’s assistance in providing you with the following health biometrics, screening tests and immunizations that are appropriate for you. Although you can complete the HAT without providing all the health information, you will receive a comprehensive health report for tracking results.

|Biometrics |Value |

|Height | |

|Weight | |

|Waist Circumference | |

|Systolic Blood Pressure | |

|Diastolic Blood Pressure | |

|Total Cholesterol | |

|LDL Cholesterol | |

|HDL Cholesterol | |

|Triglycerides | |

|Fasting/Non-Fasting Glucose | |

|Heart Rate | |

You’re encouraged to talk to your healthcare provider about the information in your HAT and seek advice in making decisions about your health and well-being.

Note: Your privacy in taking the Mobile Health HAT is something we take very seriously and is protected by law. Mobile Health Consumer complies with all Health Information Portability and Accountability Act (HIPAA) requirements and does not share any of your member information.

The State of New Hampshire Health Benefit Plan only receives de-identified, aggregated data.

Mobile Health Consumer has attained HITRUST certification, meaning that it has passed a robust, independent, standardized security framework incorporating the standards from HIPAA, Payment Card Industry (PCI), Internal Organization for Standardization (ISO), and National Institute of Standards and Technology (NIST).

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|Screenings |Date Received |

|Sigmoidoscopy or Colonoscopy | |

|PSA Test (Men) | |

|Breast Cancer Screening | |

|Cervical Cancer Screening | |

| | |

| | |

| | |

| | |

|Immunizations |Date |

| |Received |

|Pneumonia Vaccine | |

|Flu Vaccine | |

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