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How to use or fill out treatment certificate format with our platform
- Click ‘Get Form’ to open the treatment certificate format in the editor.
- Begin by filling in the 'Policy / Certificate No' at the top of the form. This is essential for identifying your claim.
- In the 'Name of Patient' section, enter the full name of the patient receiving treatment.
- Next, provide details about the 'Name of Employee / Member’s Company' to link the patient to their employer.
- Fill in the 'Name of Medical Establishment' where treatment was received, ensuring accuracy for verification purposes.
- Indicate the 'Nature of Admission' by selecting one of the options: Out-patient, In-patient, or Day Surgery.
- Complete sections regarding diagnosis and treatment history, including dates and descriptions as prompted throughout the form.
- Finally, ensure all signatures are collected from both the medical attendant and claimant before submitting.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2014 | 4 Satisfied (30 Votes) |
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