Ioma conformidad afiliado form search 2025

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  1. Click ‘Get Form’ to open the ioma conformidad afiliado form in the editor.
  2. Begin by entering your last name and first name in the designated fields at the top of the form. This personal information is essential for identification.
  3. Next, input your affiliate number (N° Afiliado) to link your submission to your account.
  4. Specify the month of service (Mes de prestación) for which you are submitting this form. This helps in tracking services rendered.
  5. Fill in the name of the professional providing services (Nombre del Profesional), ensuring accuracy for proper documentation.
  6. For each day of service, record the entry time (Entrada) and exit time (Salida) in their respective fields.
  7. The professional must sign in the designated area (Firma del Profesional) to validate their service.
  8. If applicable, have an affiliate or family member sign and clarify their relationship (Grado de parentesco) along with their DNI number.
  9. Finally, ensure all fields are completed accurately before saving or submitting your form through our platform.

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