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Dit gezondheidsformulier wordt gebruikt om informatie over de gezondheidstoestand van een individu te verzamelen voor medicinale, verzekerings- of wettelijke doeleinden.
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Het doel van dit gezondheidsformulier is om een duidelijk overzicht van de gezondheidstoestand van de aanvrager te bieden, wat helpt bij het nemen van medische en verzekeringsbeslissingen.
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Vereiste informatie omvat persoonlijke identificatie, medische geschiedenis, huidige medicatie, allergieën en eventuele eerdere ziekenhuisopnames.
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