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Florida International University Student Health Insurance Plan 20162017 Medical Evacuation & Repatriation of Remains Enrollment Form (Please Print) Student Name Last First Initial Home Address Street
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Medical evacuation and repatriation refer to the services provided to transport a person who is injured or ill back to their home country for medical treatment.
The person in need of medical evacuation and repatriation, or their authorized representative, is required to file for these services.
To fill out medical evacuation and repatriation forms, the necessary information such as personal details, medical condition, and travel plans must be provided.
The purpose of medical evacuation and repatriation is to ensure that individuals receive proper medical care in their home country when they are unable to do so in the current location.
Information such as the patient's name, medical diagnosis, current location, and preferred medical facility must be reported on medical evacuation and repatriation forms.
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