Transfer of Medical Records Form for the Transfer of Medical Records between Medical Sections of nLi Preview on Page 1

Transfer of Medical Records Form for the Transfer of Medical Records between Medical Sections of nLi 2026

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How to use or fill out Transfer of Medical Records Form for the Transfer of Medical Records between Medical Sections of nLi

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Consent by Applicant' section. Ensure you understand that you consent to the transfer of your aeromedical records and accept responsibility for any translation fees.
  3. In the 'Applicant = Holder' section, provide your personal details including title, first name, last name, address, contact information, date of birth, nationality, reference number, and any licenses held.
  4. Complete the 'State of Transfer TO' and 'State of Transfer FROM' sections with the relevant authority names and their contact details.
  5. If applicable, indicate any previous states of license issue and provide additional details if necessary.
  6. Ensure all required documents are attached as specified in the form before signing and dating it at the bottom.
  7. Finally, have a medical assessor complete their section to verify the information provided is accurate.

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