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How to use or fill out INZ 1096 with our platform
- Click ‘Get Form’ to open the INZ 1096 in the editor.
- Begin by completing Section A. Attach a recent passport-size photograph and ensure your full name is written on the back. The radiographer or radiologist must certify your identity by signing across the photograph.
- Fill in your personal details, including family name, given name, gender, date of birth, and country of birth. Make sure to provide a valid contact address.
- In Section B, declare your medical history in front of the radiographer or radiologist. Ensure you understand the implications of providing false information.
- Complete Sections C through E as instructed. The radiologist will fill out results and provide necessary comments regarding any abnormalities found during the examination.
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