Request form medical data Request file*Absenteeism fileInspection fileVaccination fileFirst aid /ambulance fileType of request*Access to dataRecieve copy of data (costs will be charged))Customise dataDelete dataName* First name Family name E-mail* Phone number*Upload identification card fileMax. file size: 64 MB.When collecting your file at KLM Health Services’ headquarters in person, there is no need to include a copy of your I.D. You can show your I.D. to one of KHS’ employees on the spot.Date of birth MM slash DD slash YYYY Company name CAPTCHA
