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SI 9340-642177 P4C6 1 of 3 (6/13) Standard Insurance Company Medical History Statement for Life Coverage Cal-Vet Team, 920 SW Sixth Avenue Portland OR 97204
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What is medical history statement?
The medical history statement is a form that contains detailed information about an individual's past medical conditions, surgeries, medications, allergies, and family history.
Who is required to file medical history statement?
Individuals who are applying for certain jobs or insurance policies may be required to file a medical history statement.
How to fill out medical history statement?
To fill out a medical history statement, an individual must provide accurate and detailed information about their medical background.
What is the purpose of medical history statement?
The purpose of a medical history statement is to provide relevant information to assess an individual's health status and potential risks.
What information must be reported on medical history statement?
Information such as past medical conditions, surgeries, medications, allergies, and family history must be reported on a medical history statement.
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