Get Health Declaration Form Sample

This guide provides comprehensive instructions for filling out the Health Declaration Form online. By following these steps, users can ensure that they complete the form accurately and efficiently.

Follow the steps to complete the Health Declaration Form Sample.

1. Click the ‘Get Form’ button to obtain the Health Declaration Form Sample and open it in your preferred editor.
2. Begin with entering your personal particulars. This section requires the full name of the person covered and the certificate owner as stated in their identification document, along with their occupation and industry details.
3. Proceed to the Height & Weight section, where you will need to provide the height and weight of both the person covered and the certificate owner in centimeters and kilograms, respectively.
4. In the Health Details section, answer the questions by ticking ‘YES’ or ‘NO’. If you answer ‘YES’ to any question, provide the necessary details in the adjacent column.
5. Take special care while answering questions related to health conditions and family medical history. Clearly indicate if any direct relatives have suffered from significant health issues.
6. After filling out the required fields, navigate to the Declaration & Authorisation section. Read each statement carefully, ensuring that you understand the implications of your answers.
7. Sign the document in the designated areas for both the person covered and the certificate owner. Make sure to include the date of signing.
8. If applicable, ensure that a witness, who is at least 18 years of age, signs the document as well. Record their name and contact information.
9. Finally, once all fields are completed and signed, save your changes. You can then download, print, or share the Health Declaration Form as needed.

Complete your Health Declaration Form online today for a smoother process!