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Get Hk Aia Opclm138 2017-2026

AIA International Limited (Incorporated in Bermuda with limited liability)CONFIDENTIAL MEDICAL CERTIFICATE PART II To be completed by doctor at Insureds / Claimants expense () Policy No. Name.

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How to fill out the HK AIA OPCLM138 online

Filling out the HK AIA OPCLM138 form is an important process in submitting a medical claim. Understanding each section of the form will help ensure accurate and efficient completion.

Follow the steps to complete the HK AIA OPCLM138 form successfully.

  1. Click the ‘Get Form’ button to access the HK AIA OPCLM138 form and open it for editing.
  2. Fill in the policy number and the name of the insured individual in the designated fields.
  3. Provide the ID card or passport number of the insured as requested.
  4. In the general information section, indicate whether you are the insured's usual medical physician by selecting 'Yes' or 'No'. If you select 'Yes', enter the date the insured first consulted you.
  5. Detail the first consultation date for the illness and describe the symptoms experienced by the insured.
  6. Answer whether the insured has a history of this illness or related conditions by selecting 'Yes' or 'No'. If 'Yes', provide the relevant dates and diagnoses.
  7. Indicate the date the diagnosis was made and when the insured was first made aware of it.
  8. Answer if there is a family history that increased the risk of this illness and whether the insured is a smoker, along with the frequency and duration of smoking.
  9. Input all other physicians or medical facilities the patient has consulted for this condition, including names, addresses, and consultation dates.
  10. Provide comprehensive details regarding the diagnosis and extent of the disease, including any necessary progress reports.
  11. Include the specialist's name, address, and specialty if the diagnosis was confirmed by someone other than the individual completing the form.
  12. Attach all relevant medical reports and documents that assist in assessing the claim, as listed in the form.
  13. State if the insured has suffered from other major illnesses and provide any additional information that may help in the claims assessment.
  14. Finally, declare that all information provided is true and complete by signing and dating the form.
  15. Save your changes, download, print, or share the completed form as needed.

Complete your documentation online today for a streamlined claims process.

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Related links form

IL RUT-76 2010 IL ST-556 (1) Instructions 2010 IL ST-556-X 2015 IL ST-556-X 2010

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