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ATTENDING PHYSICIANS STATEMENT (PERSONAL ACCIDENT) Policy No. Claim No. (For internal use) To be completed by the Attending Physician/ Surgeon at Insureds expense. 1. PATIENTS PARTICULARS Name of
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Gather all relevant personal information such as name, address, contact details, and identification documents.
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Fill in the required personal details accurately and thoroughly. This includes your name, date of birth, occupation, and any other relevant information.
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Provide details of your beneficiaries, if applicable, including their names and relationship to you.
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Declare any pre-existing medical conditions or previous accidents that may impact the coverage or claims process.
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Personal accident insurance provided by Manulife covers the policyholder in the event of accidental injury or death.
The policyholder or the insured individual is required to file for personal accident insurance with Manulife.
To fill out personal accident insurance with Manulife, the insured individual needs to provide details of the accident, medical reports, and any other relevant documentation.
The purpose of personal accident insurance with Manulife is to provide financial protection and support to the policyholder or their beneficiaries in case of accidental injury or death.
The insured individual must report details of the accident, including date, time, location, extent of injuries, medical treatments received, and any other relevant information.
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