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Apples Medical Center
TRAVEL RISK ASSESSMENT FORM
Please Contact Reception on 01935 812633 to book a Travel Clinic appointmentPlease complete this form prior to your travel appointment and return
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How to fill out form apples medical centre
01
Start by entering your personal information such as your full name, date of birth, and contact details.
02
Next, provide your medical history accurately, including any current medications or allergies.
03
Fill in the reason for your visit or the type of appointment you are scheduling.
04
If applicable, provide information about your health insurance coverage.
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Review the form for any errors or missing information before submitting it.
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Sign and date the form to confirm your consent and understanding of the provided information.
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Submit the completed form either online or in person at the Apples Medical Centre.
Who needs form apples medical centre?
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Anyone who is planning to visit or receive medical services from the Apples Medical Centre needs to fill out the form. This includes both new patients and existing patients who have not filled out the form before or need to update their information.
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