Axa consent 2026

1. Click ‘Get Form’ to open the axa consent in the editor.
2. Begin by filling out the Patient’s Details section. Use black ink and block capitals. Enter the patient's name, membership number, symptoms or diagnosis, and contact details including telephone and email.
3. Next, complete the Medical Practitioner’s Details section. Provide their name, practice name, address, contact number, and email.
4. In the Declaration and Consent section, read through the information carefully. Confirm that all details are correct and provide your consent for AXA to process your information as required.
5. Tick the appropriate boxes regarding your consent for medical reports and whether you wish to see any report before it is sent to AXA.
6. Finally, ensure you sign and date the form. If the patient is under 16, a parent or legal guardian must sign.

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