Medical questionnaire

Under the Consumer Insurance (Disclosure and Representations) Act 2012, you have a legal duty to take reasonable care to answer every question in this questionnaire honestly, accurately and to the best of your knowledge. Insurers rely on your answers to decide whether to offer cover, on what terms and at what price.

Information that is untrue, misleading, incomplete or withheld — even unintentionally — may:

• delay your application while insurers investigate;
• lead to increased premiums, exclusions or restricted terms;
• cause a future claim to be reduced, declined or paid only in part; and/or
• result in your policy being cancelled or treated as if it had never existed, with premiums potentially retained by the insurer.

If you are unsure about a question — for example a date, dosage or exact diagnosis — please provide your best estimate and mention this in the free-text notes. Where appropriate we will confirm details with your GP with your consent.

All information you provide is processed by My Mortgage & Protection Experts under the UK GDPR and Data Protection Act 2018. It is stored securely, used solely to advise on and arrange your protection policies, and shared only with insurers actively considering your application. You may request a copy of, or the deletion of, your data at any time by emailing sam@mmpe.co.uk.