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DR1V 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,
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Visit the dr1v website and click on the 'Sign Up' button.
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Create an account by providing your personal information and choosing a username and password.
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Once logged in, click on the 'Medical Questionnaire' tab.
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Follow the instructions on the questionnaire and provide accurate and complete information about your medical history, current medications, and any specific symptoms or conditions you are experiencing.
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Take your time and ensure that you answer all the questions to the best of your knowledge.
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Double-check your responses before submitting the questionnaire.
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After submitting the questionnaire, you may be asked to provide additional documents or schedule an appointment.
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Once the questionnaire is successfully submitted, wait for the healthcare professionals to review your information and provide appropriate guidance or recommendations.

Who needs dr1v online medical questionnaire?

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Anyone seeking medical advice or assistance can benefit from using the dr1v online medical questionnaire.
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It is especially useful for individuals who may have difficulty accessing healthcare facilities in person, those seeking a second opinion, or individuals with non-emergency medical concerns.
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The questionnaire can be filled out by patients of all ages, as long as they have access to a computer or mobile device with an internet connection.
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