
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.
- Click the ‘Get Form’ button to access the HK AIA OPCLM138 form and open it for editing.
- Fill in the policy number and the name of the insured individual in the designated fields.
- Provide the ID card or passport number of the insured as requested.
- 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.
- Detail the first consultation date for the illness and describe the symptoms experienced by the insured.
- 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.
- Indicate the date the diagnosis was made and when the insured was first made aware of it.
- 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.
- Input all other physicians or medical facilities the patient has consulted for this condition, including names, addresses, and consultation dates.
- Provide comprehensive details regarding the diagnosis and extent of the disease, including any necessary progress reports.
- Include the specialist's name, address, and specialty if the diagnosis was confirmed by someone other than the individual completing the form.
- Attach all relevant medical reports and documents that assist in assessing the claim, as listed in the form.
- State if the insured has suffered from other major illnesses and provide any additional information that may help in the claims assessment.
- Finally, declare that all information provided is true and complete by signing and dating the form.
- 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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