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INSTRUCTIONS FOR THE STATEMENT OF HEALTH FORM AND THE AUTHORIZATION FORM THAT FOLLOW THIS SECTION INSTRUCTIONS TO THE SCOREKEEPER (The Record keeper may be the Group Customer, a Third Party Administrator

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What is statement of health form?

A statement of health form is a document that collects information about an individual's current health status.

Who is required to file statement of health form?

Anyone applying for health insurance or a life insurance policy may be required to file a statement of health form.

How to fill out statement of health form?

To fill out a statement of health form, individuals must provide accurate and detailed information about their medical history, current health conditions, and any medications they are taking.

What is the purpose of statement of health form?

The purpose of a statement of health form is to assess an individual's health status and determine their eligibility for insurance coverage.

What information must be reported on statement of health form?

Information that must be reported on a statement of health form typically includes medical history, current health conditions, medications, and any recent treatments or surgeries.

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