I'm trying to find out whether or not a blood test is required at present (see: Do I still need a blood test for a Kurdistan residency permit?).
What does/did the form available from the residence office look like and what details does/did it request?
I was asking for information of the details that might be requested in case these included times of and/or locations of visits to other countries, such as those that have been prone to Yellow Fever, Hepatitis, Ebola, Legionnaires', SARS, HIV etc. so that I might assemble that information, together with whatever other information was required, "at my leisure" from data to hand, rather than attempting to provide the information required when in some clinic a long way from my records.
It is certainly possible that no such form exists – judging by @Gayot's image the Kurdistan Region may not be high tech - however there do seem to be enough tests being carried out to justify a form! (see Joel Damien).
Since it is the information required for the form that is of interest to me by Do I have to fill out a form I mean either by myself or with someone else wielding writing instrument/machine.
Some details from NGO Coordinating Committee for Iraq from September 2015:
Blood tests – The test will check for the following: HIV, HCV Antibody, HBs Antigen, Malaria and Bilharzia first you must go to the residency office with a color copy of the picture page of your passport and one passport-sized photo. Take this to Office 21 in the main courtyard on the ground floor and they will give you a paper to take to the hospital to authorize your blood test. The blood test can be taken at the Hawler Teaching Hospital (Safeen, Arbil 36.199296, 44.019706) in Shorish District, located on the street between Jalil Khayat Mosque and Royal Mall to the North and the taxi garage for Duhok/Soran to the south. The test costs 31 500 IQD and results are available for collection after two working days from office 21 at the residency office.
It seems possible details may be required by both "Office 21" and the hospital.