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Medical Declaration Form (Under 81 years of age) Effective 1 June 2007 Important Information to read before completing this form: Pre-existing Medical Conditions Please read this section carefully.
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How to fill out medical declaration form under

How to fill out a medical declaration form under:
01
Provide personal information: Start by filling out your personal information such as your full name, date of birth, and contact details. Make sure to write legibly and use accurate information.
02
Declare medical history: In this section, disclose any prior or existing medical conditions. Provide details about any chronic illnesses, allergies, surgeries, or medications you are currently taking. It is important to be thorough and truthful while filling out this section.
03
Travel history: Mention your recent travel history, especially to regions or countries affected by any contagious diseases or outbreaks. Include the dates of travel and the purpose of the trip if requested.
04
Current symptoms: If you are experiencing any flu-like symptoms or illness at the time of filling out the form, make sure to mention them. This might include symptoms such as fever, cough, sore throat, or difficulty breathing.
05
Contact with infected individuals: Declare whether you have been in contact with any individuals who have tested positive for any contagious diseases. If yes, provide details about the duration and nature of contact.
06
Signature and date: After completing all the necessary sections, sign and date the form to confirm the accuracy of the information provided.
Who needs a medical declaration form under:
01
International travelers: Individuals traveling from one country to another may be required to fill out a medical declaration form under certain circumstances. This helps authorities identify any potential health risks and take appropriate measures to prevent the spread of diseases.
02
Airport or border control authorities: Medical declaration forms are commonly used by airport or border control authorities to monitor the health status of incoming individuals. This is done to prevent the entry, spread, or importation of contagious diseases.
03
Healthcare professionals: Medical professionals, such as doctors or nurses, may also require individuals to fill out a medical declaration form under certain circumstances. This helps them assess the patient's health condition and provide appropriate medical care.
It is important to note that the specific requirement of a medical declaration form and who needs to fill it out can vary depending on the country, airline, or health organization. It is always advisable to check local regulations and guidelines to ensure compliance.
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