Get Sg Aviva Clinical Abstract Application Form (ca1)

Filling out the SG Aviva Clinical Abstract Application Form (CA1) online is a straightforward process that allows you to submit important medical information efficiently. This guide provides clear, step-by-step instructions to assist you in completing this essential form accurately.

Follow the steps to complete your application form online.

1. Press the ‘Get Form’ button to obtain the application form and open it in the designated form editor.
2. Provide the particulars of the life assured. Fill in the full name, identity card or passport number, and contract number as requested in the corresponding fields.
3. In the authorisation section, enter the name of the doctor or medical officer-in-charge and the clinic or hospital details. Make sure to include the full address.
4. Fill in your name from the field that states 'I, [Name of Patient / Parent / Legal Guardian], authorise you.' Also, provide your identity card or passport number.
5. Specify the name of the patient who was treated. Ensure the correct identity information is used.
6. Indicate the department where the patient was treated, along with the patient's admission and discharge dates. This is crucial for processing the application.
7. If the patient is 21 years old or above, the patient must sign the form. If the patient is below 21, the signature of the parent or legal guardian is required. Fill in the date of signature and the relationship of the person signing, selecting the correct option (father, mother, or legal guardian).
8. Review all the filled information for accuracy and completeness before proceeding to save your changes.
9. Once you have confirmed that the application is complete, you can save the form. Options to download, print, or share the completed form will be available.

Start completing your SG Aviva Clinical Abstract Application Form (CA1) online today!