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Medical Assessment

Please answer the questions below for a travel insurance quote

About your trips

Single Trip
Annual Multi-Trip
United Kingdom
Europe
USA, Canada,
Caribbean & Mexico
Somewhere Else
Winter Sports
Cruise Cover

Who’s travelling?

An Individual
A Couple
A Family
A Single
Parent Family
A Group

For each traveller on this policy, please enter a date of birth

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Medical Conditions

What is pre-existing medical condition? click here to know more.

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All personal and medical data you provide, as part of this assessment process, is stored by Rock Insurance Services Limited (ROCK) according to current Data Protection legislation. This service uses a system which automates the decision about whether to offer an endorsement and how much that endorsement might cost. To complete the assessment of your pre-existing medical conditions it is necessary for ROCK to request and store sensitive personal data. Please read our Privacy Notice if you require further information about how ROCK handles your data.

Are you happy to give your consent to the use of your personal and medical data in the manner just explained?

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Do you have any medical condition where you have been prescribed medication, including repeat prescriptions, or received treatment or attended a GP or a specialist as an outpatient or inpatient in the last 2 years or for which you are currently on a waiting list for treatment or investigation?

Do you have any illness for which you have received a terminal prognosis or any heart, heart-related or circulatory condition; or any respiratory condition; any stress, anxiety, depression or any other psychological condition or any cancerous condition?

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