Fill in the medical insurance accidental injury confirmation form, mainly describing the injury process, and fill in the following contents:
1) time: that is, a few minutes or so on a certain day of a certain year;
2) What are you going to do? Such as shopping, walking, doing housework and other private activities. On the way to and from work, it is regarded as a work-related injury and cannot take medical insurance.
3) location: that is, where. Go somewhere when going downstairs or upstairs;
4) Cause of injury. Such as slippery roads, dizziness, etc. Don't write "careless".
5) the situation at that time. If the pain in a certain part is unbearable at that time, and you can't stand up or move, you will be sent to a hospital for treatment. Description of attending doctor: refers to the description and diagnosis of injury. For example, at that time, the activity of a certain part was limited, and the X-ray (CT, MRI) film showed a fracture of a certain part. Opinion of the doctor in charge: surgical treatment in hospital. Other contents must be filled in completely, and blank columns are not allowed. Need to sign, must sign and press the fingerprint.