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Medical Form

HMSA requires a medical form to be on file before a member may participate in any HMSA event. The form must be filled out by your doctor, and the original returned to HMSA.

The medical form is available as a downloadable PDF document. Just print it, fill it out and send it back to the HMSA office.

Click on the from below to download.

This form may be viewed and printed using Acrobat Reader software.