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V1 ONLINEConfidential medical information Rev Sept 14PART A: ABOUT YOU Please answer the questions on this form in BLOCK CAPITAL letters using BLACK Entitle:Surname:Date of Birth:(Mr, Mrs, Miss, Other?)
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Open the website of the medical institution that provides the v1 online medical questionnaire.
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Click on the 'Fill Out' or 'Start' button to begin the questionnaire.
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Read the instructions and guidelines carefully before starting.
04
Provide accurate personal information such as your name, date of birth, and contact details.
05
Answer all the questions in the questionnaire honestly and to the best of your knowledge.
06
If you are unsure about any question, consult with a healthcare professional before providing an answer.
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Upload any necessary medical documents or reports as requested.
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Review your answers before submitting the questionnaire.
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Click on the 'Submit' or 'Finish' button to complete the process.
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Wait for the medical institution to review your questionnaire and provide further instructions if necessary.

Who needs v1 online medical questionnaire?

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Individuals who are seeking medical advice, diagnosis, or treatment from a medical institution.
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Patients who are required to provide their medical history and information before receiving healthcare services.
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People who want to save time by completing the questionnaire online instead of filling out paper forms.
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Individuals who prefer the convenience of filling out the questionnaire from the comfort of their own home.
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Patients who have been referred to a medical institution and need to provide necessary information for evaluation.
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Anyone who wants to ensure accurate and efficient delivery of healthcare services based on their individual needs.
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V1 online medical questionnaire is a digital form used to collect medical information from individuals.
Individuals who are undergoing medical treatment or consultation may be required to fill out the v1 online medical questionnaire.
To fill out the v1 online medical questionnaire, individuals need to access the online platform, enter their personal details, and answer the provided medical questions.
The purpose of the v1 online medical questionnaire is to gather relevant medical information from individuals in a convenient and efficient manner.
Information such as medical history, current medications, allergies, and any existing medical conditions must be reported on the v1 online medical questionnaire.
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