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  • Avaldus Perearstile

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Avaldus perearstile NB! Esitamiseks perearstile, mitte haigekassale. AVALDUS PEREARSTILE Perearsti nimi Isiku nimi Isikukood Alaline vi peamine elukoht Postiaadress /tnav/ /maja/ /kla, alevik/ /korter/.

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How to fill out the Avaldus Perearstile online

Filling out the Avaldus Perearstile is an essential process for anyone seeking to enroll with a new family doctor. This guide provides step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the Avaldus Perearstile form.

  1. Press the 'Get Form' button to access the Avaldus Perearstile and open it in your preferred editing tool.
  2. Begin by entering the name of your family doctor in the designated field labeled 'Perearsti nimi'.
  3. In the next field, provide your full name as indicated under 'Isiku nimi'.
  4. Input your personal identification code in the field marked 'Isikukood'.
  5. Fill out your permanent or primary address in the section labeled 'Alaline või peamine elukoht', ensuring to include street, house number, village/town, apartment number, county, and postal code.
  6. Enter a contact phone number in the 'Kontakttelefon' field, which may be used for follow-up communication.
  7. Indicate your desire to be added to the patient list by checking the box next to 'Palun võtta mind nimistusse'.
  8. If applicable, provide the name of your previous family doctor under 'Minu eelmine perearst oli'.
  9. List any family members who are closely related to you and currently enrolled with the doctor by including their name, identification code, permanent or primary address, and relationship to you.
  10. Select the appropriate options related to the patient list size, either 'Esmakordselt' for first-time applicants or 'Vahetan perearsti nimistut' to indicate a change of doctor.
  11. Sign the document where indicated as 'Isiku allkiri' and input the date under the respective fields.
  12. Complete the form by entering the name and signature of the family doctor in the final sections, along with the date.
  13. Once all fields are filled, save your changes, and choose whether to download, print, or share the completed form as needed.

Complete your Avaldus Perearstile and manage your documents online today.

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