Get the free Initial Attending Physician's Statement - sfu

This document is designed for physicians to report on a patient's health status as part of a long-term disability claim process, ensuring that proper medical information is submitted for claim assessment.

How to fill out initial attending physicians statement

How to fill out Initial Attending Physician's Statement

1. Obtain the Initial Attending Physician's Statement form from the relevant insurance or health organization.
2. Fill in the patient's personal information, including their name, date of birth, and medical record number.
3. Provide a detailed description of the patient's medical condition, including the diagnosis and relevant medical history.
4. Include any current treatments, medications, and therapies the patient is undergoing.
5. Document the physician's observations and findings during the examination.
6. Sign and date the form to certify that the information provided is accurate and complete.

Who needs Initial Attending Physician's Statement?

1. Individuals applying for disability benefits.
2. Patients seeking long-term care support.
3. Patients who are filing a claim for insurance benefits due to a medical condition.
4. Patients requiring approval for medical leave from work.

People Also Ask about

What is the difference between an attending physician and a regular physician?

Defining the Responsibilities and Authority Understanding the roles of attending physicians and resident doctors is essential in navigating the healthcare system. Attendings are fully licensed doctors responsible for overseeing the care team, while residents are physicians in training working under their supervision.

Who fills out an attending physician statement?

It is important that the doctor treating your disabling condition is the one completing the APS. For example, if you suffer from Multiple Sclerosis, it is likely your neurologist would be the most appropriate doctor to complete the form.

What is the attending physician statement letter?

An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information.

What is the purpose of an attending physician statement?

Attending physician statements are typically in the form of a questionnaire and provide pertinent information used in reviewing your eligibility for benefits. This includes: A firm diagnosis of your condition. A list of all your symptoms.

What is included in an attending physician statement?

An attending physician statement is a form your physician must fill out. It comes in the form of a questionnaire. It will ask questions about your conditions and symptoms and how they impact your ability to work. You may come across other names for this form, such as a “functional report.”

Who completes an attending physician's statement?

Only relevant physicians should fill out an attending physician statement. Making sure that the APS accurately reflects your inability to work: The most important aspect of an attending physician statement is that it accurately illustrates how your condition prevents you from working.

Where do I get an attending physician statement?

When you file your claim for short-term disability or long-term disability benefits, the insurance carrier will likely send you an Attending Physician Statement (APS) form for your treating medical provider to complete.

What is an attending physician's statement would be appropriate for?

An attending physician's statement would be appropriate for the purpose of assisting in the underwriting decision at the request of the insurer. Underwriting is the process by which an insurer decides whether to take on a proposed risk and, if so, on what terms.

For pdfFiller’s FAQs

What is Initial Attending Physician's Statement?

The Initial Attending Physician's Statement is a document completed by a physician that provides essential medical information about a patient's condition and treatment when applying for benefits.

Who is required to file Initial Attending Physician's Statement?

Typically, the healthcare provider attending to the patient is required to file the Initial Attending Physician's Statement, especially for claims related to disability, insurance, or workers' compensation.

How to fill out Initial Attending Physician's Statement?

To fill out the Initial Attending Physician's Statement, the physician must accurately provide details about the patient's diagnosis, treatment plan, prognosis, and any other relevant medical history, ensuring all sections of the form are completed.

What is the purpose of Initial Attending Physician's Statement?

The purpose of the Initial Attending Physician's Statement is to provide insurers or relevant authorities with verified medical information that supports the patient's claim for benefits or services.

What information must be reported on Initial Attending Physician's Statement?

The Initial Attending Physician's Statement must report information such as the patient's diagnosis, treatment details, examination findings, any limitations or disabilities, and the expected duration of the condition.