兴趣爱好What is a Jersey Health Declaration form and how can it benefit you? A health declaration form is a legal document that outlines your medical conditions. It will list the diagnosis and procedures followed in treating your particular condition, as well as the extent of damage or loss suffered from your condition. It will generally list your name and address, as well as the city, phone number, insurance company, birthdate, social security number, physician's names, and whether or not you are a citizen of the United States.