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MEDICAL HISTORY APPLICATION PART II This Medical History Application Part II shall amend and be made a part of the undersigned's Application for Insurance to National Western Life Insurance Company,
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How to fill out the medical history application part:

01
Start by carefully reading the instructions: Before filling out the medical history application part, it's important to read the instructions provided. Make sure you understand the purpose of the form and the specific information they are asking for.
02
Gather relevant medical records: Before starting to fill out the application, gather any relevant medical records or documents that may help you provide accurate information. This can include previous medical diagnoses, surgeries, allergies, medications, and family medical history.
03
Provide accurate personal information: Begin by providing your name, date of birth, contact information, and any other requested personal details. It's important to ensure this information is accurate and up-to-date.
04
Include previous medical conditions: In this section, provide details about any past medical conditions or illnesses you have experienced. Include the date of diagnosis, any treatments or surgeries received, and the current status of the condition.
05
Mention allergies and reactions: If you have any allergies or adverse reactions to medications, foods, or environmental factors, make sure to specify them in this section. Include the types of allergies and the severity of your reactions.
06
Note current medications: List all the medications you are currently taking, including prescription medications, over-the-counter drugs, supplements, or herbal remedies. Provide the name of the medication, dosage, and frequency of use.
07
Discuss family medical history: Many medical history application forms ask about family medical history. Include any relevant information about genetic conditions, diseases, or health issues that run in your family. This can help healthcare providers assess potential risks or hereditary illnesses.
08
Add additional information: If there are any additional medical details you believe are important to mention, ensure they are accurately included. This could be related to past surgeries, hospitalizations, mental health conditions, or any other relevant medical information.
09
Review and double-check: Before submitting the form, take the time to review all the information you provided. Double-check for accuracy and completeness. Ensure that you have not missed any sections or questions.

Who needs the medical history application part?

The medical history application part is typically required by healthcare providers such as doctors, specialists, hospitals, or clinics. They use this information to understand your medical background, make informed decisions about your healthcare, and identify any potential risks or contraindications for certain treatments or medications.
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The medical history application part is a form that collects information about an individual's past medical conditions, treatments, and family medical history.
Individuals applying for medical insurance or treatment may be required to file a medical history application part.
To fill out the medical history application part, individuals must provide detailed information about their medical history as accurately as possible.
The purpose of the medical history application part is to help healthcare providers assess the individual's health risks and provide appropriate care.
Information such as past medical conditions, surgeries, medications, allergies, and family medical history must be reported on the medical history application part.
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