Certificato anamnestico 2025

1. Click ‘Get Form’ to open the certificato anamnestico in the editor.
2. Begin by entering the patient's surname and name in the designated fields at the top of the form.
3. Fill in the details of the local health unit and region, ensuring accuracy for proper identification.
4. Provide birth information, including place and date of birth, along with the health card number.
5. In section A, indicate any neurological diseases by checking 'NO' or marking relevant conditions. Use an 'X' for clarity.
6. Proceed to section B for mental disorders. Again, check 'NO' or specify any past or present issues as required.
7. In section C, address substance use by marking applicable boxes and providing additional details where necessary.
8. Finally, ensure that both the declarant and physician sign and date the document at the bottom to validate it.

Start using our platform today to easily complete your certificato anamnestico online for free!