Medical Questionnaire definition

Medical Questionnaire means, with respect to a Referenced Settlement Recipient, the questionnaire concerning medical information, duly completed by or for such Referenced Settlement Recipient and in such form as provided by the Purchaser.
Sample 1Sample 2
Medical Questionnaire means a series of questions designed to indicate the existence of a medical condition.
Sample 1Sample 2
Medical Questionnaire means, with respect to any Claimant, a duly completed questionnaire in substantially the form attached as Exhibit G, provided, however, that during the Selling Period, the Purchaser may from time to time modify such questionnaire as it may determine in its reasonable judgment and such modified questionnaire shall become effective immediately upon delivery to the Seller and the Originator.
Sample 1

Examples of Medical Questionnaire in a sentence

  • Name of patientSpecify illness/ condition/disorder in full Date of diagnosis 9.2 Medical questionnaire (continued)• All questions must be answered with a “Yes” or “No”.

  • The completed Pre-Employment Medical questionnaire is reviewed by the OHS.

  • Medical questionnaire (continued)• All questions must be answered with a “Yes” or “No”.

  • The decision to request that a candidate attends is discretionary and based on the evaluation of the Pre-Employment Medical questionnaire.

  • In the event that the candidate does not have internet access, a physical copy of the Pre-Employment Medical questionnaire may be requested from the OHS.

  • Annual Medical questionnaire To facilitate a means of monitoring the OH of the staff/employees the HR Dept will annually send out to each staff/employee a medical questionnaire to be returned so they may be reviewed to identity any highlighted problem and refer the employee to a medical professional.

  • If one subscribes to the Temporary Incapacity cover on a later date than the International Medical Insurance cover, a new Medical questionnaire has to be completed and signed.

  • The non-exhaustive catalogue of examples in article 12.2 provides guidance in defining the action to be taken by States.

  • Name of patient Specify any known complications, if applicable Date of diagnosis 9.2 Medical questionnaire (continued)• All questions must be answered with a “Yes” or “No”.

  • If the number of enrolled staff comes down to less than ten (10) employees, a Medical questionnaire has to be completed for each employee and each Dependent and has to be submitted by the candidate-Insured to the medical consultant of the Administrator.


More Definitions of Medical Questionnaire

Medical Questionnaire means, with respect to a Claimant, the questionnaire concerning medical information, duly completed by or for such Claimant and in such form as the Originator may use from time to time in accordance with the Credit Policy Manual.
Sample 1

Related to Medical Questionnaire

  • Collateral Questionnaire means a certificate in form satisfactory to Collateral Agent that provides information with respect to the personal or mixed property of each Credit Party.

  • Questionnaire shall have the meaning set forth in Section 2(a)(ii) hereof.

  • Investor Questionnaire has the meaning set forth in Section 5.8.

  • Notice and Questionnaire means a Notice of Registration Statement and Selling Securityholder Questionnaire substantially in the form of Exhibit A hereto.

  • Selling Stockholder Questionnaire shall have the meaning set forth in Section 3(a).

  • Selling Shareholder Questionnaire shall have the meaning set forth in Section 3(a).

  • Accredited Investor Questionnaire means the Accredited Investor Questionnaire set forth as Exhibit C-1 hereto.

  • Administrative Questionnaire means an Administrative Questionnaire in a form supplied by the Administrative Agent.

  • Exhibit F The awarded category pricing from the Contractor’s submitted Price Sheet from 3rd Bid RFP 15-80101507-SA-D

  • Exhibit D means Exhibit D to the Judgment;

  • Exhibit E means Exhibit E to the Judgment;

  • Exhibit C Form xx Xxxxx B-4, B-5 or B-6 Certificate.................... Exhibit D: (Resexxxx)................................................... Exhibit E: Form of Reverse of Certificates.............................. Exhibit F: Form of Initial Certification of Master Servicer............. Exhibit G: Form of Final Certification of Master Servicer...............

  • Exhibit means any item labeled as an Exhibit in the Solicitation or placed in the Exhibits section of the solicitation.

  • Disclosure Certificate means this Continuing Disclosure Certificate.

  • Disclosure Notice means a notice issued by or on behalf of the Company requiring disclosure of interests in shares pursuant to section 212 of the Act;

  • Exhibit 2 Standard File Codes – Delinquency Reporting, Continued The FNMA Delinquent Reason Code field should show the Reason for Delinquency as follows: Delinquency Code Delinquency Description 001 FNMA-Death of principal mortgagor 002 FNMA-Illness of principal mortgagor 003 FNMA-Illness of mortgagor’s family member 004 FNMA-Death of mortgagor’s family member 005 FNMA-Marital difficulties 006 FNMA-Curtailment of income 007 FNMA-Excessive Obligation 008 FNMA-Abandonment of property 009 FNMA-Distant employee transfer 011 FNMA-Property problem 012 FNMA-Inability to sell property 013 FNMA-Inability to rent property 014 FNMA-Military Service 015 FNMA-Other 016 FNMA-Unemployment 017 FNMA-Business failure 019 FNMA-Casualty loss 022 FNMA-Energy environment costs 023 FNMA-Servicing problems 026 FNMA-Payment adjustment 027 FNMA-Payment dispute 029 FNMA-Transfer of ownership pending 030 FNMA-Fraud 031 FNMA-Unable to contact borrower INC FNMA-Incarceration

  • Exhibit B means [Vendor]’s Response.

  • Letter of Transmittal and Election Form means the letter of transmittal and election form(s) to be delivered by Company to the Company Shareholders and Company RSU Holders and providing for the Company Shareholder’s and Company RSU Holders election with respect to the Consideration;

  • Form of Notice of Conversion means the “Form of Notice of Conversion” attached as Attachment 1 to the Form of Note attached hereto as Exhibit A.

  • UCC Filing Authorization Letter means a letter duly executed by each Loan Party authorizing the Agent to file appropriate financing statements on Form UCC-1 without the signature of such Loan Party in such office or offices as may be necessary or, in the opinion of the Agent, desirable to perfect the security interests purported to be created by each Security Agreement, each Pledge Agreement and each Mortgage.

  • list of accredited prospective providers means the list of accredited prospective providers which the municipality must keep in terms of paragraph 14 of this policy;

  • Information Package means the most recent compilation of financial and other data with respect to the Failed Bank, including any amendments or supplements thereto, provided to the Assuming Institution by the Corporation on the web site used by the Corporation to market the Failed Bank to potential acquirers.

  • Disclosure Counsel means the Special Counsel designated by the Corporation to be responsible for the drafting and delivery of the Corporation’s disclosure documents such as preliminary official statements, official statements, re-offering memorandums or private placement memorandums and continuing disclosure agreements.

  • Informed Financial Consent means the medical provider advises you of any out-of-pocket costs before your admission. This is called Informed Financial Consent.

  • Assignment Details Form means written confirmation of the assignment details to be given to the Agency Worker upon acceptance of the Assignment;