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THE UNITED REPUBLIC OF TANZANIA
MINISTRY OF WORKS, TRANSPORT AND COMMUNICATIONTANZANIA SHIPPING AGENCIES CORPORATION
Scour Ref: MB 113/384/01/Date: Medical Examination Request Form
(To be completed
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How to fill out medical examination questionnaire
How to fill out medical examination questionnaire
01
To fill out a medical examination questionnaire, you should follow these steps:
02
Begin by reading the instructions provided with the questionnaire.
03
Start filling out the personal information section, including your name, date of birth, and contact details.
04
Move on to the medical history section and carefully answer all the questions related to your health conditions and previous illnesses.
05
Answer questions about any medications you are currently taking or have taken in the past.
06
If there are specific questions related to your lifestyle choices such as smoking, alcohol consumption, or physical activities, respond accordingly.
07
In case of any uncertainty or ambiguity, seek assistance either from the medical staff or the provided helpline.
08
Once you have completed all the sections, review your answers for accuracy and completeness.
09
Sign and date the questionnaire to validate your responses.
10
Submit the filled questionnaire as per the instructions provided, whether it's submitting it online or returning a physical copy to the designated authority.
Who needs medical examination questionnaire?
01
A medical examination questionnaire is usually required by individuals who are undergoing a medical evaluation or seeking medical services. It is commonly used in various scenarios including:
02
- Applicants for employment in certain industries where health assessments are mandatory.
03
- Individuals applying for health or life insurance policies.
04
- Patients before being admitted to a hospital or medical facility for surgeries or major treatments.
05
- Participants in clinical research studies or trials.
06
- Students enrolling in certain academic programs that require healthcare screening.
07
- Individuals seeking specialized medical advice or consultations.
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What is medical examination questionnaire?
A medical examination questionnaire is a form used to gather information about an individual's health history, current medical conditions, and other health-related factors that may be relevant for purposes such as employment, insurance, or immigration.
Who is required to file medical examination questionnaire?
Individuals applying for certain visas, employment positions, or insurance plans may be required to file a medical examination questionnaire to assess their medical eligibility.
How to fill out medical examination questionnaire?
To fill out a medical examination questionnaire, individuals should carefully read the instructions, provide accurate and honest information about their health history and current medical status, and ensure all required fields are complete before submission.
What is the purpose of medical examination questionnaire?
The purpose of a medical examination questionnaire is to evaluate an individual's health status and identify any medical issues that could affect their eligibility for employment, insurance coverage, or immigration status.
What information must be reported on medical examination questionnaire?
Mandatory information typically includes personal identification, medical history, current medications, allergies, and any previous surgeries or medical treatments.
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