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HEALTH INSURANCE

There is nothing more important than good health. Although it’s not always possible to anticipate an illness or a medical intervention. No matter how much we plan, there are times when unexpected events happen, you can protect yourself and your family with a good health insurance.


Health insurance covers your routine medical care and medication, your optical and dental needs, but also gives you peace of mind when you have a serious health issue or need costly surgery.

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CLIENT

First Name
Last Name
Occupation
Phone
Email
Address
Date of Birth
Number of Dependents
- Date of Birth Spouse
- Date of Birth Child 1
- Date of Birth Child 2
- Date of Birth Child 3
- Date of Birth Child 4
Previous Insurer (if any)