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Underwritten by:Arranged by:CLINICAL EXAMINATION FORM Statement under section 25(5) of Insurance Act, Cap. 142 (Or any future amendments to it) You must reveal all facts you know, or ought to know
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How to fill out clinical examination form

01
Start by gathering all necessary information such as patient's demographics, medical history, and reason for visit.
02
Begin filling out the form by entering the patient's name, date of birth, and contact information.
03
Proceed to fill out the medical history section, including any known medical conditions, allergies, and current medications.
04
Document the patient's vital signs such as blood pressure, heart rate, temperature, and weight.
05
Document any physical examination findings such as appearance, general health, and specific body systems.
06
Make a list of any additional tests or procedures that need to be ordered based on the examination findings.
07
Review the form for accuracy and completeness before submitting it for further review or processing.

Who needs clinical examination form?

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Clinical examination forms are needed by healthcare professionals such as doctors, nurses, and other medical practitioners to document and assess a patient's health status.
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A clinical examination form is a document used to record the findings of a physical examination and clinical assessment of a patient, which typically includes details about the patient's medical history, symptoms, and diagnostic results.
Healthcare professionals, such as doctors and nurses, who conduct physical examinations and assessments are required to file clinical examination forms for their patients.
To fill out a clinical examination form, one must gather relevant patient information, complete sections regarding the patient's medical history, perform a physical examination, document clinical findings accurately, and ensure the form is signed by the examining healthcare provider.
The purpose of a clinical examination form is to document a patient's clinical findings, assist in diagnosis and treatment planning, and provide a record for ongoing healthcare management.
The information that must be reported includes patient identification details, medical history, reason for examination, findings from the physical assessment, any diagnostic tests performed, and the healthcare provider's notes and recommendations.
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