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MEDICAL DECLARATIONName: Membership Number: 1. Do you suffer from or have you suffered from any medical conditions / illnesses (no matter how small or insignificant)? YES / NO If YES, please list
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Do you suffer from a medical condition or illness that affects your daily life?
Anyone who is experiencing symptoms or has been diagnosed with a medical condition.
You can fill out a medical history form provided by your healthcare provider or doctor.
The purpose is to accurately document and assess the medical conditions or illnesses of individuals.
You must report any relevant symptoms, diagnoses, treatments, and medications related to your medical condition.
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