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Unified medical declaration form

Unified medical declaration form 2025

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The Unified Medical Declaration Form is a document designed for insured individuals to provide accurate medical information for health insurance purposes. It includes sections for personal details, medical history, and declarations regarding any chronic or hereditary conditions. The form emphasizes the importance of truthful disclosure to ensure proper coverage and outlines the consequences of failing to provide complete information. Additionally, it contains instructions for adding dependents and the responsibilities of both the insured and the insurance company.

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Versions	Form popularity	Fillable & printable
2017	4.7 Satisfied (20 Votes)

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What does health declaration mean?

A declaration of health is a short form that you complete to make us aware of any changes in your circumstances since you sent us your application form.

What is a medical declaration form?

When buying travel insurance, either online or over the telephone, you will be asked about your medical history, this is usually called a medical declaration, and helps the insurer assess the risks and provide a policy with the appropriate cover for your needs.