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HEALTH CARE PROTECTION PROGRAM Risk Management PO Box 3586, Victoria, B.C. V8W 3W6 Phone: (250) 9520836 Fax: (250) 3560661 HCAP Claim No. VEHICLE ACCIDENT REPORTING FORM Call POLICE in cases of injury
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To fill out vehicle - health care, start by gathering all relevant information about your vehicle, such as its make, model, year, and VIN number. Additionally, you'll need your insurance information and any pertinent medical records.
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Next, determine if your vehicle - health care coverage is provided by your own auto insurance policy or a separate policy specifically for medical expenses resulting from a car accident. This distinction may affect the process and requirements for filling out the form.
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Begin the form by providing your personal details, including your name, address, phone number, and email address. If you have a policy number, include that as well.
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Clearly state the date and location of the accident for which you are seeking vehicle - health care coverage. Provide a detailed description of the incident, including the sequence of events, people involved, and any notable conditions or circumstances.
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Specify the injuries or medical conditions resulting from the accident. Provide a comprehensive list of all affected body parts and any associated symptoms or complications.
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If you received medical treatment, include the names and contact information of the healthcare professionals or facilities involved. Provide a detailed account of the treatment received, including dates, procedures, and medications prescribed.
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If you incurred any out-of-pocket expenses related to the accident and your subsequent healthcare, document them thoroughly. This may include medical bills, prescription receipts, transportation costs, and any other relevant receipts or invoices.
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If there were any witnesses to the accident, it would be helpful to include their statements or contact information to support your vehicle - health care claim.

Who needs vehicle - health care?

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Individuals who have been involved in a car accident and sustained injuries requiring medical attention would benefit from vehicle - health care coverage.
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Family members or dependents of the injured individual may also need vehicle - health care coverage if they were passengers in the same vehicle or affected by the accident in some way.
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