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LU1267CA (1110) PART 2 Medical History 3275 Bennett Creek Avenue, Frederick, Maryland 21704 1. Name of Proposed Insured 2. Height ft. in. Date of Birth 3. Weight lbs. If your weight has changed by
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How to fill out if your weight has:

01
Start by gathering all the necessary information about your weight, such as current weight, height, and any recent changes in weight.
02
Make sure to accurately document your weight by using a reliable scale and keeping track of any fluctuations.
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Include any relevant details about your weight, such as whether it is a result of intentional changes (diet, exercise) or if it is unintentional (medical condition, medication side effects).
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Provide any additional information requested on the form, such as your target weight, BMI calculation, or specific weight-related goals.
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Who needs if your weight has:

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Individuals participating in weight loss programs or undergoing weight management.
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Insurance companies or other institutions that use weight as a factor in determining eligibility, coverage, or pricing.
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If your weight has changed, you may need to update it on official documents.
Individuals who have experienced a change in weight may be required to update their information on official records.
To update your weight on official documents, you may need to fill out a form or contact the appropriate authorities.
The purpose of updating your weight on official records is to ensure accuracy in information.
You may need to report your new weight and provide supporting documentation if required.
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