ILLNESS ACCIDENT - expatinsurance 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Policy number' at the top of the form. This is essential for identifying your insurance coverage.
3. In the 'INFORMATION ABOUT THE PATIENT' section, enter the patient's first name, last name, address, postal code, city, date of birth, and gender. Ensure all details are accurate and in block capitals.
4. Provide contact information including email and telephone numbers. Remember to include country codes for mobile and telephone fields.
5. Next, move to 'DOCTOR’S DETAILS AND TREATMENT INFORMATION'. Fill in the doctor's name, address, postal code, city, country, telephone number, and email.
6. Indicate when the patient first became aware of their symptoms and provide a brief description of any previous complaints related to this condition.
7. If applicable, complete the 'IN CASE OF HOSPITAL ADMISSION' section with admission dates and hospital details.
8. Finally, ensure that you sign and date the declaration confirming that all information provided is true and correct.

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