Loading
Get Bhai Ghanhya Sehat Sewa Scheme 2020-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Bhai Ghanhya Sehat Sewa Scheme online
The Bhai Ghanhya Sehat Sewa Scheme provides cashless assistance for medical needs in Punjab. This guide will help you navigate the online filling process for the scheme's application form, ensuring a seamless experience.
Follow the steps to successfully complete the online application form.
- Click ‘Get Form’ button to obtain the application form and open it for editing.
- In Part 1, provide the patient details including their name, age, sex, MDID card number, mobile number, cooperative society name, main member's name, and your relation to the main member. Ensure all fields are accurately filled.
- Move to Part 2, which must be filled by the treating doctor. Enter the doctor’s name, mobile number, presenting complaints with their duration, clinical findings, provisional diagnosis, qualification, email ID, and various medical details such as blood pressure, pulse, cardiovascular system, respiratory system, ICD code, proposed investigations, and treatment plans.
- The doctor should state if there has been a road traffic accident and provide details regarding surgery, anesthesia used, and obstetric history as applicable.
- In Part 3, the hospital must provide its name, address, estimated hospital expenses, probable admission date, accommodation details, duration of stay, city, phone number, fax number, and email if available. Fill in all expenses such as room rent, medicines, surgical expenses, professional charges, investigation charges, and total expenses accurately.
- Review the patient and hospital declaration sections carefully. Make sure all necessary consents and declarations are signed by the patient, treating doctor, and include the hospital seal.
- Once all sections are filled, you can save changes to your form, download it for printing or sharing, and ensure that all mandatory fields are completed.
Complete your Bhai Ghanhya Sehat Sewa Scheme application online for prompt assistance.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.