Medical Questionnaire definition
Examples of Medical Questionnaire in a sentence
These materials include, but are not limited to: Medical Questionnaire, Emergency Information, and Consent Form; passport quality photos (for international programs); a copy of my signed passport (for international programs), any applicable course approval forms, and a visa if required for my specific program.
Traveler agrees to complete the Medical Questionnaire truthfully and to disclose all relevant medical information fully and accurately.
Traveler hereby agrees to provide such medical information via the medical information questionnaire (“Medical Questionnaire”) on page three (3) of Infinity’s or FA’s Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement & Medical Questionnaire, as further discussed in Section 16 and available on Infinity’s website at ▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇ or FA's website at ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇.▇▇▇/en/.
Should there be any change to your current medical condition or a change in medication prior to the departure date of your covered trip, you are required to complete another Medical Questionnaire which may result in a change in the plan for which you qualify, as well as the premium payable by you.
The purpose of this Medical Questionnaire is to find out if you should be examined by your doctor before participating in recreational diver training.
The undersigned understands that CEE’s Medical Questionnaire must be properly and fully completed by the parent(s) and/or guardian(s) and the physician and in CEE’s possession no less than ten (10) days prior to the Participant’s departure to Poland or Israel.
Any change in premium shall become applicable for the Policyholder only upon renewal of the Policy at the anniversary date of the Policy (unless a Covered Person’s material misrepresentation or omission in the Application and Medical Questionnaire would have resulted in a different initial premium, in which case Geisinger Quality Options, Inc.
PSOs must meet health certification requirements listed in PSO Medical Questionnaire.
All athletes must complete a Medical Questionnaire Form and a check-up annually with the Team Physician if they are training at the National Training Center.
Please contact our staff if you need a copy of the PADI Medical Questionnaire.