Ioma conformidad afiliado form search 2026

1. Click ‘Get Form’ to open the ioma conformidad afiliado form in the editor.
2. Begin by entering your 'Apellido y nombre' (Last name and First name) in the designated field. This identifies you as the affiliate.
3. Next, input your 'N° Afiliado' (Affiliate Number) to ensure proper identification within the system.
4. Specify the 'Mes de prestación' (Month of service) to indicate when the services were provided.
5. Fill in the 'Nombre del Profesional' (Name of Professional) who provided the service, ensuring accuracy for record-keeping.
6. For each day of service, record the 'Entrada' (Entry time) and 'Salida' (Exit time) in their respective fields.
7. The professional must sign in the 'Firma del Profesional' section to validate their involvement.
8. The affiliate or family member should then sign in the 'Firma de afiliado o familiar' section, followed by providing their DNI and indicating their relationship ('Grado de parentesco').
9. Finally, ensure that all information is accurate before saving or submitting your completed form.

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