user1762425785 – נכות כללית – בשבילי – מימוש זכויות רפואיות בע"מ

תשובות לשאלון – נכות כללית

טופס ההגשה המלא – נכות כללית

Main Info Person Id: 304370653
N2 Mobile Phone: 0542528831
Address Mia Email: [email protected]
Address Mia City: תל אביב
Address Mia Address Postal Code: אברבנאל
Address Mia House Number: 46
Address Mia Entrance: C
Address Mia Apartment: 11
Address Mia Street Post Office Box: 3333333
Main Info Family Status: אלמנ/ה
Main Info Spouses Id: _________
Details Of Work Last 15: עבדתי והפסקתי לעבוד
Details Of Work Last 15 Why Stop: ממש עצלן מאוד
Details Of Work Last 15 Why Doesnt: לא עבדתי כי אין כח
Address Registered At The Ministry Of The Interior: לא
Income Outside Of Work: כן
Income Outside Of Work What: מהעסק שלי
I The Plaintiff Refuse: i_the_plaintiff_refuse
Mental Problem Getting Treatment: true
Mental Problem Getting Treatment Month: 11
Mental Problem Getting Treatment Year: 2022
Mental Problem Getting Treatment Seen Specialist: true
Mental Problem Getting Treatment Was Hospitalized: true
Thyroid Disorders: true
Thyroid Disorders Month: 12
Thyroid Disorders Year: 2023
Thyroid Disorders Seen Specialist: true
Thyroid Disorders Was Hospitalized: true
Hypertension: true
Hypertension Month: 10
Hypertension Year: 2024
Hypertension Seen Specialist: true
Hypertension Was Hospitalized: true
Mental Retardation: true
Mental Retardation Month: 9
Mental Retardation Year: 2025
Mental Retardation Seen Specialist: true
Mental Retardation Was Hospitalized: true
Hearing Impairment: true
Hearing Impairment Month: 8
Hearing Impairment Year: 2026
Hearing Impairment Seen Specialist: true
Hearing Impairment Was Hospitalized: true
Visual Impairment And Eye Disease: true
Visual Impairment And Eye Disease Month: 7
Visual Impairment And Eye Disease Year: 2027
From The Ministry Of Welfare: true
Process Of Recognition For A Blind Certificate: true
Visual Impairment And Eye Disease Seen Specialist: true
Visual Impairment And Eye Disease Was Hospitalized: true
Orthopedic Disease Upper And Lower Limbs Back Neck Arthritis: true
Orthopedic Disease Upper And Lower Limbs Back Neck Arthritis Month: 6
Orthopedic Disease Upper And Lower Limbs Back Neck Arthritis Year: 2028
Orthopedic Disease Upper And Lower Limbs Back Neck Arthritis Seen Specialist: true
Orthopedic Disease Upper And Lower Limbs Back Neck Arthritis Was Hospitalized: true
Neurological Diseases Including Alzheimers Parkinsons Epilepsy And Stroke: true
Neurological Diseases Including Alzheimers Parkinsons Epilepsy And Stroke Month: 5
Neurological Diseases Including Alzheimers Parkinsons Epilepsy And Stroke Year: 2029
Neurological Diseases Including Alzheimers Parkinsons Epilepsy And Stroke Seen Specialist: true
Neurological Diseases Including Alzheimers Parkinsons Epilepsy And Stroke Was Hospitalized: true
Digestive Tract Diseases Including Stomach And Intestines: true
Digestive Tract Diseases Including Stomach And Intestines Month: 4
Digestive Tract Diseases Including Stomach And Intestines Year: 2030
Digestive Tract Diseases Including Stomach And Intestines Seen Specialist: true
Digestive Tract Diseases Including Stomach And Intestines Was Hospitalized: true
Liver Disease Including Jaundice: true
Liver Disease Including Jaundice Month: 3
Liver Disease Including Jaundice Year: 2031
Liver Disease Including Jaundice Seen Specialist: true
Liver Disease Including Jaundice Was Hospitalized: true
Kidney Disease Including Dialysis: true
Kidney Disease Including Dialysis Month: 2
Kidney Disease Including Dialysis Year: 2032
Kidney Disease Including Dialysis Seen Specialist: true
Kidney Disease Including Dialysis Was Hospitalized: true
Heart Disease: true
Heart Disease Month: 1
Heart Disease Year: 2033
Heart Disease Seen Specialist: true
Heart Disease Was Hospitalized: true
Skin Disease: true
Skin Disease Month: 01
Skin Disease Year: 2034
Skin Disease Seen Specialist: true
Skin Disease Was Hospitalized: true
Lung Disease Including Asthma: true
Lung Disease Including Asthma Month: 02
Lung Disease Including Asthma Year: 2035
Lung Disease Including Asthma Seen Specialist: true
Lung Disease Including Asthma Was Hospitalized: true
Diabetes Mellitus: true
Diabetes Mellitus Month: 03
Diabetes Mellitus Year: 2036
Diabetes Mellitus Seen Specialist: true
Diabetes Mellitus Was Hospitalized: true
Cancer Including Lymphoma And Leukemia: true
Cancer Including Lymphoma And Leukemia Month: 04
Cancer Including Lymphoma And Leukemia Year: 2037
Cancer Including Lymphoma And Leukemia Seen Specialist: true
Cancer Including Lymphoma And Leukemia Was Hospitalized: true
Corona: true
Corona Month: 05
Corona Year: 2038
Corona Seen Specialist: true
Corona Was Hospitalized: true
Other: true
Other Month: 06
Other Year: 2039
Other Text Custom: שלומי
Other Seen Specialist: true
Other Was Hospitalized: true
Test Result: לא
Disability Caused As A Result Of Another Additional Accident: לא
Contact The Ministry Of Defense Because Of An Injury While Serving In The Army: לא
You Have Been Treated In The Last Year Yes Place: תל אביב
I The Plaintiff Refuse Signature: data:image/png;base64,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
I The Plaintiff Refuse Signature Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/4102830587/i_the_plaintiff_refuse_signature-1768380968.png
Details Of The Plaintiffs Bank Account Name: דימה
Details Of The Plaintiffs Bank Account Surname: ברו
Details Of The Plaintiffs Bank Account Id: 304-370-653
I The Am The Partner In Bank Account Name: הפועלים
I The Am The Partner In Bank Account Address: השופטים
I The Am The Partner In Bank Account Branch No: 700
I The Am The Partner In Bank Account Id: 577627
Signatures Of The Account Partners: https://bshvili.co.il/wp-content/uploads/dscf7_signatures/signatures_of_the_account_partners-1769600369.png
Signatures Of The Account Partners Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/3381305607/signatures_of_the_account_partners-1769600369.png
The Pension Claimants Signature: data:image/png;base64,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
The Pension Claimants Signature Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/0270358202/the_pension_claimants_signature-1768380968.png
The Signature Of The Claimant Or The Claimant: data:image/png;base64,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
The Signature Of The Claimant Or The Claimant Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/3791435134/the_signature_of_the_claimant_or_the_claimant-1768380968.png
I Am A Member Of A Health Fund: כללית
The Pension Claimants Signature Last: data:image/png;base64,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
The Pension Claimants Signature Last Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/1365312985/the_pension_claimants_signature_last-1768380968.png
Current Date: 14/01/2026
Service Id: 899
Payments Of Entire 15 Month: HisherikFavIcon.png
Income Outside Of Work Payments: HisherikFavIcon.png