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FEP1 ONLINE Confidential medical information Rev Sept 14 PART A: ABOUT YOU Please answer the questions on this form in BLOCK CAPITAL letters using BLACK INK Title: Surname: Date of Birth: (Mr, Mrs,

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What is report your medical condition?

Report your medical condition is a form or document where individuals are required to disclose their current medical condition and any treatments they may be undergoing.

Who is required to file report your medical condition?

Individuals who have a medical condition that may impact their ability to work or participate in certain activities may be required to file a report on their medical condition.

How to fill out report your medical condition?

To fill out a report on your medical condition, you will need to provide accurate and detailed information about your medical history, current condition, and any treatments you are receiving.

What is the purpose of report your medical condition?

The purpose of a report on your medical condition is to provide relevant information to employers, healthcare providers, or other parties who may need to be aware of your medical situation.

What information must be reported on report your medical condition?

Information that must be reported on a report of your medical condition may include your diagnosis, treatment plan, medication usage, and any limitations or accommodations needed.

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