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New Jersey Department of Health AIDS Drug Distribution Program (ADD) / Health Insurance Continuation Program (HIP) CERTIFICATION BY PHYSICIAN If you need assistance completing this form, call toll-free
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What is certification by physician?
Certification by physician is a process where a medical professional validates or confirms a certain medical condition or treatment plan.
Who is required to file certification by physician?
Individuals who are seeking medical benefits or accommodations may be required to file certification by physician.
How to fill out certification by physician?
To fill out certification by physician, individuals must provide all necessary medical information and have a licensed physician complete and sign the form.
What is the purpose of certification by physician?
The purpose of certification by physician is to ensure that medical information is authentic and accurate, allowing for proper evaluation and consideration of medical benefits or accommodations.
What information must be reported on certification by physician?
Certification by physician typically includes information such as diagnosis, treatment plan, prognosis, and any necessary restrictions or accommodations.
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