Treatment certificate format 2026

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  1. Click ‘Get Form’ to open the treatment certificate format in the editor.
  2. Begin by filling in the 'Policy / Certificate No' at the top of the form. This is essential for identifying your claim.
  3. In the 'Name of Patient' section, enter the full name of the patient receiving treatment.
  4. Next, provide details about the 'Name of Employee / Member’s Company' to link the patient to their employer.
  5. Fill in the 'Name of Medical Establishment' where treatment was received, ensuring accuracy for verification purposes.
  6. Indicate the 'Nature of Admission' by selecting one of the options: Out-patient, In-patient, or Day Surgery.
  7. Complete sections regarding diagnosis and treatment history, including dates and descriptions as prompted throughout the form.
  8. Finally, ensure all signatures are collected from both the medical attendant and claimant before submitting.

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