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MEDICAL INFORMATION FORM The following questions relate to conditions that may occur while participating in outdoor activities especially when away from medical services. Please answer the following

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How to fill out medical information form

01

Begin by providing your personal information such as your full name, date of birth, gender, and contact details.

02

Next, disclose your medical history by listing any previous or existing medical conditions, allergies, surgeries, or hospitalizations.

03

Include information about your current medications, including the dosage and frequency of each medicine.

04

Mention any ongoing treatments or therapies you are receiving.

05

Provide details about your primary healthcare provider, including their name, contact information, and any relevant medical records you may have.

06

If applicable, document any emergency contact information.

07

Lastly, review the filled-out form for completeness and accuracy before submitting it.

Who needs medical information form?

01

Anyone who is seeking medical care, undergoing a medical procedure, or enrolling in a health insurance plan may need to fill out a medical information form.

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