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State of Illinois Department on Aging 2011 Schedule A Attachment to the claimant s Form IL 1363. Physician s Statement You may need to complete Schedule A if you were younger than 65 years of age

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What is attachment a physicians statement?

Attachment A Physicians Statement is a document that contains information provided by a physician regarding a person's medical condition and treatment.

Who is required to file attachment a physicians statement?

The person requiring medical treatment or their legal representative is responsible for filing attachment A physicians statement.

How to fill out attachment a physicians statement?

To fill out attachment A physicians statement, the person or their legal representative needs to provide their personal and medical information, including the necessary documentation and the physician's statement.

What is the purpose of attachment a physicians statement?

The purpose of attachment A physicians statement is to provide medical evidence of a person's condition and treatment in order to support a claim for medical benefits or accommodations.

What information must be reported on attachment a physicians statement?

Attachment A physicians statement requires the reporting of personal information, such as name, address, and contact details, as well as a detailed description of the person's medical condition, treatment, and any limitations or accommodations needed.

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