Get John Hancock Hiv Consent Form - Usaexams Home Page

Filling out the John Hancock HIV Consent Form is an important step in initiating your insurance application. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Enter the proposed life insured's name in the designated fields: first name, middle name, and last name.
3. Provide the state of residence in the corresponding field.
4. Fill in the date of birth format as follows: month, day, and year.
5. Review the notice section carefully to understand the consent being provided for testing.
6. In the tests to be performed section, note that the ELISA and Western Blot assays will be used.
7. Acknowledge the meaning of a positive test result and its implications for your insurance application.
8. Complete the confidentiality of test results section, understanding how your results will be handled.
9. Provide the name and address of your designated physician or healthcare provider for result disclosure in the authorization and consent section.
10. Ensure to sign and date the form where required.
11. After completing all fields, save your changes, and download or print the completed form for your records.
12. Share the form with any relevant parties if necessary.

Begin filling out your John Hancock HIV Consent Form online today.