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SA STM National OfficeTRAVELLER PATIENT INFORMATION Form: 011 025 3297 FX: 087 941 1350 Email: admin@sastm.org.za Website: www.sastm.org.zaPERSONAL INFORMATION Title / SurnamePostal AddressGiven Names ID

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How to fill out travel-patient-formpdf - quintamed medical

01

Begin by downloading the travel-patient-formpdf from the Quintamed Medical website.

02

Fill in your personal information such as name, date of birth, contact details, etc.

03

Provide details about your medical history, current medications, and any allergies.

04

Specify the reason for your travel and any specific medical requirements you may have during your trip.

05

Sign and date the form to confirm that all information provided is accurate and complete.

Who needs travel-patient-formpdf - quintamed medical?

01

Anyone seeking medical treatment or consultation from Quintamed Medical before or during their travel needs to fill out the travel-patient-formpdf.

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What is travel-patient-formpdf - quintamed medical?

It is a form that needs to be filled out by patients traveling to Quintamed Medical for medical treatment.

Who is required to file travel-patient-formpdf - quintamed medical?

Patients traveling to Quintamed Medical for medical treatment are required to file the form.

How to fill out travel-patient-formpdf - quintamed medical?

The form can be filled out electronically or by hand, providing all requested information accurately.

What is the purpose of travel-patient-formpdf - quintamed medical?

The purpose is to gather necessary information about patients traveling to Quintamed Medical for medical treatment.

What information must be reported on travel-patient-formpdf - quintamed medical?

Patients need to report personal information, medical history, treatment details, and travel plans.

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