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Hemochromatosis/Excessive Iron in Blood Underwriting Questionnaire

Please select "age" if the date of birth is unknown.

Hemochromatosis/Excessive Iron in Blood

For the following questions, please check with your health care provider if you do not know and list any recent abnormal levels in the following table. These values are important for us to help you get a realistic idea of premiums before completing a formal application of insurance for a specific company.

Test values were as follows:

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