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Medical Questionnaire:FOR/11CIssue Date:May 2016Issue:1-Page 1 of 2MEDICAL QUESTIONNAIRE Name: Address It is important to be accurate with your answers to this questionnaire. When you declare NO,
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Step 1: Gather all necessary medical information and documents.
02
Step 2: Read the instructions on the 11b medical self form carefully.
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Step 3: Fill out your personal information such as name, address, and contact details.
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Step 4: Provide details about your medical condition, including the diagnosis and treatment received.
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Step 5: Attach any supporting medical reports or documentation to the form.
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Step 6: Review the completed form for accuracy and completeness.
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Step 7: Sign and date the form.
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Step 8: Submit the filled-out 11b medical self form to the relevant authority or organization.

Who needs for 11b medical self?

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Anyone who requires medical treatment or has a medical condition that needs to be documented may need to fill out an 11b medical self form. This form is typically used for self-reporting medical information and is often required by employers, government agencies, or healthcare providers.
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11b medical self refers to a form used for reporting medical expenses for tax purposes.
Individuals who have incurred medical expenses and wish to deduct them from their taxes are required to file for 11b medical self.
To fill out for 11b medical self, individuals must provide information about their medical expenses, including the amount spent and the services received.
The purpose of for 11b medical self is to allow individuals to claim a deduction for qualifying medical expenses on their taxes.
Information such as the amount spent on medical expenses, the type of services received, and any reimbursements received must be reported on for 11b medical self.
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