Health Risk Assessments - Now Registering!

Registration is now open for the Spring 2014 Health Risk Assessments. This year, registration is fully online and easier than ever! Watch the video at right or follow these easystep-by-step directions to help you sign up through CoxHealth Express.

What is an HRA?

An HRA, or a Health Risk Assessment, is a tool that looks at a person's behaviors and health history in order to determine individual health. The tool evaluates not only specific measurements, but also measures health habits that can include: social support, emotional health and spirituality, nutrition, fitness, environmental safety, stress, responsibilities, personal habits and attitudes. HRAs are personal and confidential, and because they contain personal health information, they are subject to the HIPAA Privacy laws. Participation in a HRA is completely voluntary and is NOT required of any employee.

The HRA will consist of two parts. A questionnaire and a physical screening which will include the following:

  • Height (measurement with tape measure)
  • Weight (measurement with scale)
  • Blood pressure (blood pressure cuff)
  • Body Mass Index (BMI) (a reading from your height and weight)
  • Body Fat Percentage (measurement with hand held device)
  • Waist Circumference (measurement with tape measure)
  • Fasting Blood work (blood draw with a needle that will assess cholesterol levels, glucose or blood sugar levels, and triglycerides or blood fats)

Why is an HRA important?

An HRA can increase a person's knowledge of their own health and provide them with a baseline of information to make informed decisions regarding their health. They are a benefit to City of Springfield employees as they are offered FREE of charge to the employee which saves costs incurred by visiting a physician for the same services. Additionally, the HRA will provide a snapshot of individual health information along with resources and tools to create a personal health plan.

Frequently Asked Questions

  • What is an HRA?
  • HRA stands for Health Risk Assessment. Getting an assessment is a great way to learn more about your body and how to monitor and improve your health status!

  • What does an HRA include?
  • Your FREE Health Risk Assessment will include:

    • A Healthy Lifestyle Questionnaire (62 questions)
    • Blood Pressure check
    • Height, Weight, Body Fat, Body Mass Index check
    • Fasting Blood Work (Glucose, Total Cholesterol, HDLs, LDLs, Triglycerides)
    • Bone Density Screening (FREE, but optional)
    • Optional tests offered at an additional price: (can be paid for on location through cash or check)

      • Prostate Specific Antigen (PSA) - $22
      • C-Reactive Protein: blood screen for inflammation - $10
      • Hemoccult: fecal occult blood test $8
      • Complete Metabolic Panel: blood screen for organ function - $10
      • Complete Blood Count: blood screen for anemia, infection, etc - $9
      • Thyroid Stimulating Hormone: blood screen for thyroid function - $10
      • Refreshments, prizes, and drawings
  • How long does an HRA last?
  • Your assessment shouldn't last much longer than 15 minutes!

  • How do I sign up?
  • This year, registration is easier than ever! All you need to do is create an account at CoxHealth Express by following these easystep-by-step directions or by watching the video at the top of this page. Once your profile is established, it’s as easy as filling out the questionnaire (PHA) and selecting the date and time in which you wish to complete your labs and biometrics. We will also have the L46 Computer Training Lab available on the following dates to help you register:

    • Wednesday, April 2, 12 to 2pm
    • Thursday, April 10, 2 to 4pm
    • Tuesday, April 15, 9 to 11am
    • Monday, April 21, 11am to 1pm
    • Thursday, May 1, 1 to 3pm

    For additional help registering, call (417)269-9140 or email Emily Hegg at

  • If I am out of the office and/or unable to attend any of the HRA dates, what can I do?
  • If you are unable to make any of the scheduled HRA events, you can call and make an appointment at the CoxHealth Corporate Wellness Office (417-269-9140) until June 30. This appointment may still include the optional tests offered at an additional price. Please allow 15-30 minutes for this appointment.

  • Can my spouse or significant other participate?
  • Of course! We will offer the HRAs to spouses or significant others and dependants over the age of 18 for a fee of $27 per person.

  • Is there a special dress code for an HRA?
  • There is no specific dress code for an HRA , but a tip for your clothing choice of the day would be to wear a short sleeve shirt or one with sleeves that can be rolled up. This will provide easy access to your arm for both the blood draw and blood pressure check. Also, if you want to complete the optional bone density test, you will need to remove your socks and shoes to access your heel. Because of this reason, it might be a good idea to avoid wearing pantyhose that day.

  • How long must I be “fasting” for the blood test?
  • The blood test requires a minimum of 10-hours of fasting. What does this entail? The below tips will help you:

    • You may drink water but no eating or drinking anything else.
    • No coffee, tea, or soda (including diet or calorie-free varieties)
    • No gums or candies during the 10-hour fast (including sugar-free)
    • Sounds strict? It is! But the closer you follow these guidelines, the more accurate your tests will be which will definitely help you in the long run when it comes to managing your health!
  • What can I do to get the most accurate body fat % reading at the assessment?
  • Do not exercise before the assessment.

    Drink plenty of fluids – do not come in dehydrated.

    Do not drink an excessive amount of fluid within 2 hours of the assessment.

    Do not lie down 30 minutes before the assessment.

  • When will I receive the results of my HRA?
  • Your HRA results will mailed and uploaded to your Dashboard profile within 2 weeks after the completion of your HRA. If you haven't received your report after 2 weeks, please call 269-9140 to request your report.

  • What information is on the HRA report?
  • In addition to your screening scores, the following will be broken down for you individually:

    • Overall wellness score
    • What you are doing well, what needs attention
    • Coronary Risk (heart disease)
    • Cancer Risk
    • Nutrition
    • Fitness
    • Stress
    • Substance use
    • Safety
    • Health age
  • Can my HRA information be shared with my doctor?
  • Of course! In fact, we highly encourage it! inBalance wants to equip you with the tools and information you need to take responsibility for your individual health decisions. In addition to your results being mailed to you, the results from your personal questionnaire can also be printed and taken to your doctor.

  • Are my personal results released to my employer?
  • Absolutely not! No personal or identifying information will be released to your employer. The HRAs are completely confidential. However, the City will receive an aggregate report covering group figures, but no individual information will be included on this report. This aggregate data will aid the inBalance Employee Wellness program by identifying areas of greatest health risk which will offer guidance in creating programs to address health concerns.

  • What if I just went to my doctor for my physical, can I still participate in the HRA?
  • Absolutely! In fact, we encourage you to do both!

    Did your physical examination include blood-work? If not, it is a great idea to participate in the offered HRA which provide these services for FREE!

    Want to participate but don’t want to do the blood-work again? No problem! If you have completed your blood-work in the past 12 months and still want to participate in the HRA, you can check your lab results to make sure they include the following: total cholesterol, HDL, LDL, Glucose and Triglyceride levels. If so, bring a copy of these results to your HRA appointment. When in doubt, complete your lab tests at the HRA as all of the lab results assist us in providing the most accurate wellness picture for you and the City of Springfield.


Parks Family Center and Zoo Memberships

NEW THIS YEAR!inBalance is proud to announce a 20% Friends of the Zoo Membership Discount resulting from the Wellness Wish Program!

In order to establish eligibility or maintain current eligibility for a Parks Family Center Membership and Zoo FOZ Membership, you must either participate in an annual HRA or submit a completed Annual Physical Examination Verification Form found in the Resources box at the top of this page. To continue a current membership, you must complete the above stated and submit the necessary paperwork to a Family Center or the Zoo prior to your membership expiration date.

  • If I did not participate in the HRA, what is the best way for me to verify I have received a physical in the last 12 months in order to take advantage of the discounts?
  • Download the Annual Physical Examination Verification Form. Have your physician, nurse practitioner, or physician assistant sign the form. If you already have a form from your physician, just make sure it includes the same information as the Annual Physical Examination Verification Form. Send all completed forms to Emily Hegg in the Health Department.

  • Who can be included in a membership and are they required to have an HRA as well?
  • Parks Family Center Memberships: As stated in the Parks current policy, a family is defined as a legally married couple, living together, and their children, or a single parent and their children. Children up to age 18 or if they are a full time student, age 22. Although it is important for your family to have an HRA or physical, they do not need one to participate in a family membership. However, we will offer the HRAs to spouses or significant others and dependants over the age of 18 for a fee of $27 per person.

    Friends of the Zoo Memberships: Individual One named adult. Individual Plus One named adult plus one guest (adult or child) or two named adults. Single-Parent Family One named adult and dependent children 18 years old and younger. Family (2 parents) Two named adults and dependent children 18 years old and younger. Grandparents One or two grandparents and grandchildren 18 years old and younger.

    Although it is important for your family to have an HRA or physical, they do not need one to participate in a family membership. However, we will offer the HRAs to spouses or significant others and dependants over the age of 18 for a fee of $27 per person.


    We are proud to offer this great benefit to our employees. Keep an eye out for other great programs and services provided by inBalance in the future. Look for announcements on this website, by email, and on flyers posted in your department about monthly programs, classes, special topic presentations and other opportunities. Remember to always strive to stay inBalance!