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Group Hospitalization & Surgical Claim Form 團體住院及手 …

showing date of treatment, patient's name, diagnosis with attending physician’s stamp and signature within 3 months from date of treatment. 3. Doctor statement at the back page must be duly completed. 4. For overseas hospitalization/surgical treatment, please provide translation to English/Chinese on each item, diagnosis, operation name, etc. 5.

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  Form, Treatment, Group, Testament, Claim, Surgical, Hospitalization, Group hospitalization amp surgical claim form

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