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DocHub fill-and-sign-pdf-form65003-asnMedical Declaration - Fill Out and Sign Printable PDF

DocHub fill-and-sign-pdf-form65003-asnMedical Declaration - Fill Out and Sign Printable PDF 2025

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4.8 out of 5

120 votes

The document is a Medical Self-Declaration form for applicants, requiring personal information and a detailed account of any medical conditions or treatments. It includes sections for the applicant's health history, medications, and a declaration of compliance with health regulations and anti-doping policies. The form must be signed by the applicant and, if underage, by a parent or guardian.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the 'Applicants’ Information' section. Fill in your name, age, address, postal code, city/province, date of birth, and gender. Indicate if you wear glasses.
In 'Part 2', provide your height and weight. Answer whether you have been treated for any listed medical conditions by checking 'Yes' or 'No'. If 'Yes', detail your responses on a separate sheet.
List all medications you are currently taking, including dosage and frequency.
In 'Applicants’ Declaration', read through the statements carefully. Confirm your understanding by signing and dating the form. If underage, ensure a parent/guardian signs as well.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (120 Votes)

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