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Get H1 Online Medical Questionnaire
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How to fill out the H1 Online Medical Questionnaire online
Completing the H1 Online Medical Questionnaire is an important step in managing your medical information related to driving. This guide will provide you with detailed instructions to help you fill out the form accurately and efficiently.
Follow the steps to complete your medical questionnaire.
- Click the ‘Get Form’ button to obtain the questionnaire and access it in your chosen format.
- In Part A, provide your personal information. Fill in your title, surname, first name(s), date of birth, driver number (if known), address, telephone numbers (home and mobile), postcode, and email address. Ensure to write in BLOCK CAPITAL letters using BLACK INK.
- In Part B, include details about your general practitioner (GP) and consultant. Write down their names, addresses, telephone numbers (including dialling codes), and emails (if known). Also, specify the dates you were last seen by your GP and consultant related to your current medical condition.
- Part C requires information about other clinics you are attending. Provide the name of the clinic, the department, the reason for attendance, your date of birth, driver number, date last seen, and any reference numbers.
- Respond to the medical questions in the form. Answer whether you have any heart or heart-related conditions, the occurrence of dizziness or fainting, and if you have a pacemaker implanted. Be sure to provide dates and any necessary details.
- If applicable, complete the pacemaker declaration and sign it, confirming your adherence to the stated conditions for holding a driving licence.
- In the consent section, read the provided information carefully. Sign and date the consent to authorize the release of your medical information to relevant authorities.
- Ensure all pages of the completed form are included before submission. You may choose to return the questionnaire by post or fax, as indicated on the form.
- Finally, save any changes, download, print, or share the completed form as necessary for your records.
Take the next step towards managing your medical information by completing the H1 Online Medical Questionnaire today.
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