Get Accident Medical Certificate

Completing the Accident Medical Certificate online is a crucial step in processing your claim for medical expenses related to an accident. This guide provides a clear and supportive walkthrough of each section of the form, ensuring you can fill it out accurately and efficiently.

Follow the steps to complete the Accident Medical Certificate online

1. Click the ‘Get Form’ button to obtain the Accident Medical Certificate and open it in your preferred editing tool.
2. Fill in the medical information authority at the top of the form, including your policy or certificate number.
3. Authorize the disclosure of your medical information by signing in the specified area, allowing your medical attendant to share necessary data with Sompo Insurance Singapore Pte. Ltd.
4. Provide your name and the name of the medical establishment where treatment was received.
5. Indicate the nature of your admission by selecting whether it was an outpatient or inpatient case.
6. Record the period of admission, including the start and end dates.
7. Describe the nature and extent of the injury clearly and thoroughly.
8. Explain the cause of the injury, including whether it was solely due to the accident or contributed to by other factors.
9. Indicate if there were any concerns regarding the claimant's sobriety at the time of the accident.
10. Detail any previous medical conditions that might have affected the accident or recovery.
11. State the duration of the claimant's inability to return to work as a result of the accident.
12. Assess whether the claimant is still unable to attend to their usual duties and provide relevant dates.
13. Indicate whether any permanent disabilities were suffered due to the accident.
14. Discuss any existing physical defects or illnesses prior to the accident.
15. Outline surgical procedures or treatments that were administered, including any medications given.
16. Document the date of any surgical procedures or treatments provided.
17. Clarify whether any surgery conducted was for cosmetic reasons or was medically necessary.
18. Specify if the claimant is still under medical care and provide details of the ongoing treatment.
19. Finalize the document by providing the doctor's signature, name, title, and the clinic or hospital information.
20. After all fields are completed, save your changes. You can then download, print, or share the completed form as needed.

Begin by completing the Accident Medical Certificate online to ensure your claim is processed smoothly.