Welcome to New Mexico Health Connections (NMHC). You have joined a special health plan. We are a non-profit, consumer operated and oriented plan (CO-OP), and our main focus is your health.

We would like to work with you to find out your specific health needs and guide you to as many NMHC health services and providers you may need. We need your help in setting the plan for your health.
¿Necesita usted completar esta encuesta en español? Haga clic aquí. https://www.research.net/r/NMHCHealthyCheckUpSpanish

* 1. Demographics (required)

* 2. Date of Birth (required)


* 3. Subscriber ID

* 4. Do you have a primary care provider (PCP)?

* 5. If you marked no, can we call you to help you find a primary care provider (PCP)?

* 6. Have you been seen by any of the following types of providers within the last 12 months?

* 7. How would you rate your health?

* 8. Have you been diagnosed with any of the following illnesses?

* 9. Are you taking any medications for your chronic illness?

* 10. Have you stayed overnight in a hospital in the last six months?

* 11. Have you been seen in an emergency room in the last six months?

* 12. If you are 50 - 75 years of age, have you been screened for colon cancer by colonoscopy, flexible sigmoidoscopy, fecal occult blood testing or barium enema in the last 10 years?

* 13. WOMEN ONLY: If you are a female age 21-64, have you had a cervical cancer screening test (Pap smear) in the last 3 years?

* 14. WOMEN ONLY: If you are a female age 50-74, have you had a breast cancer screening exam (Mammogram) in the last 2 years?

* 15. Do you have any of the following behavioral health conditions?

* 16. Have you been seen in an emergency room in the last six months?

* 17. Over the past 12 months, has poor physical or mental health kept you from doing your usual activities, your work, or recreation?

If you answered yes to question 15, click on the link below to access the M3 Behavioral Health Assessment. 


* 18. Over the last month, did you ever feel that your difficulties were piling up so high that you could not overcome them?

Thank you for taking time to complete the Healthy Check-Up Interview! At NMHC, we believe in empowering our members to take charge of and improve their health. On our Staying Healthy page, you can find community resources and support groups, plus get access to A.D.A.M., our complete source of health and wellness information, interactive features, self-management tools, assessments, and content. You can find all of A.D.A.M.’s tools and resources by visiting Connecting You to Wellness.