Medical screening questionnaire 2026

1. Click ‘Get Form’ to open the medical screening questionnaire in the editor.
2. Begin by filling out your personal particulars, including your full name, NRIC number, age, telephone numbers, and email address. Ensure all information is accurate for effective processing.
3. In Section A, indicate any drug allergies or G6PD deficiency by ticking the appropriate boxes. If applicable, provide details of the medication and reactions in the space provided.
4. Proceed to Section B to disclose your personal medical history. For each listed condition, tick 'Yes' or 'No' and provide additional details if you answer 'Yes'.
5. Consult family members when completing Section C regarding family medical history. Indicate any relevant conditions affecting them.
6. If you are under 21, ensure that your endorser completes Section D. They must certify the accuracy of your responses.
7. Complete Sections E and F regarding social history and smoking habits as applicable. Provide detailed answers where necessary.
8. Finally, review all entries for accuracy before signing in Section G to confirm that all information is correct.

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