Basic Impaired Risk Fact Finders
Submit Electronically
Click here for a list of electronically submittable fact finders
Detailed Impaired Risk Fact Finders
Download and fax to 800-977-1966
or scan and email to michelle@workmanfinancial.com
Alcohol
Arthritis
Asthma
Aviation
Build
Cancer - Bladder
Cancer - Breast
Cancer - Cervix
Cancer - Colorectal
Cancer - General
Cancer - Leukemia
Cancer - Lymphoma
Cancer - Ovarian
Cancer - Prostate
Cancer - Testicular
Cholesterol
Chronic Obstructive Pulmonary Disease
Colitis / Crohns
Depression
Diabetes
Drug Use
Epilepsy
Heart - Abnormal EKG
Heart - Angioplasty
Heart - Aortic Stenosis
Heart - Aortic Regurgitation
Heart Attack
Heart - Bundle Branch Block
Heart - Congestive Heart Failure
Heart Disease - Cardiomyopathy
Heart Disease - General
Heart Disease - Mitral Valve Prolapse
Heart Disease - Mitral Valve Regurgitation
Heart Disease - Mitral Valve Stenosis
Heart Disease - Pacemaker
Heart Disease - Pericarditis
Hematuria (Blood in Urine)
Hemochromatosis
Hepatitis
High Blood Pressure
Irregular Heart Beat
Kidney Disease - Glomerulonephritis
Kidney Disease - Polycystic Kidney Disease
Kidney Disease - Proteinuria
Kidney Disease - Renal Insufficiency
Liver Enzyme Elevations
Lupus
Multiple Sclerosis
Prostate - Elevated PSA
Sarcoidosis
Sleep Apnea
Stroke
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