Medical Information – Fillable Form

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WHETHER YOU ARE SOLELY RESPONSIBLE FOR TAKING CARE OF YOURSELF OR ARE THE PRIMARY INDIVIDUAL WHO HANDLES THE MEDICAL INFORMATION (VISITS, PAYMENTS, ETC.) FOR YOUR FAMILY OR OTHER FAMILY MEMBERS (FRIENDS/LOVED ONES), HAVING ALL THE RELATED INFORMATION IN ONE LOCATION WILL GREATLY ASSIST WHOEVER STEPS IN DURING A TIME WHERE YOU MAY BE UNABLE TO FULFILL THESE DUTIES. THE INDIVIDUAL(S) ASSISTING YOU, ESPECIALLY IN A MEDICAL SITUATION, WILL NEED TO BE ABLE TO ASK (ANSWER) QUESTIONS OF THE INSURANCE COMPANY, FILE CLAIMS, PAY BILLS AND POSSIBLY CONTACT DOCTORS.