Appointment Slips

Att_14a_Appointment Slips-v8_201029.pdf

National Health and Nutrition Examination Survey

Appointment Slips

OMB: 0920-0950

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Attachment 14a

Don’t miss out on the
opportunity to receive your free
NHANES Health Exam!
Make a Plan
Date:
Time:
Location:
Transportation:
If you provided a cell phone number
and gave us permission, we will send
you a reminder text the day before your
exam appointment.
CDC Representative:

Centers for Disease
Control and Prevention
National Center for
Health Statistics

Thank you for following these
instructions to make sure our tests and
your results are accurate:
1. Do not eat or drink anything
except water after:
•	Do not chew gum, use cough drops, or use

_____:_____

NA

AM PM

breath mints.

•	The tests for cholesterol, liver, and diabetes and pre-diabetes may not
be accurate if you eat anything prior to the exam.

2. Take your prescription medications as
directed by your medical provider.
•	If allowable by your doctor, please do not take your diabetes pills or
insulin before your exam. Bring them with you so that you can take
them after your blood test.

•	Your exam will test how well your medications are working to treat your
diabetes.

•	You may bring food to the exam center to have immediately after your
blood test.

3. Do not take non-prescription vitamins or
supplements before your exam.

NA

4. Please leave your jewelry at home and do bring a
sweater if you get cold easily.
5. Our professional staff will be available to answer any
questions you may have during your exam.


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