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Medical Declaration Form Effective 15 June 2009 Important information to read before completing this form: Preexisting Medical Conditions Please read this section carefully. Travel Insurance only

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Gather all relevant medical documents related to your pre-existing medical conditions.

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Fill out the forms or documents accurately and provide all necessary information.

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Include details about the pre-existing medical conditions, such as diagnosis, treatment, medications, and any related medical history.

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Who needs pre-existing medical conditions?

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Individuals who have pre-existing medical conditions such as chronic illnesses, injuries, or diseases.

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What is pre-existing medical conditions?

Pre-existing medical conditions are health issues or illnesses that a person already had before applying for insurance coverage.

Who is required to file pre-existing medical conditions?

Individuals applying for insurance coverage are required to disclose any pre-existing medical conditions they have.

How to fill out pre-existing medical conditions?

To fill out pre-existing medical conditions, individuals need to provide detailed information about their existing health issues or illnesses on the insurance application form.

What is the purpose of pre-existing medical conditions?

The purpose of disclosing pre-existing medical conditions is to allow insurance companies to assess the risk associated with providing coverage to individuals with existing health issues.

What information must be reported on pre-existing medical conditions?

Individuals must report specific details about their pre-existing medical conditions, including diagnosis, treatments, medications, and any ongoing management.

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