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Attending Physician's Statement Send to: Group Long Term Disability Claims, P.O. Box 26025, Leigh Valley, PA 180026025 For Customer Service: (800) 5384583 Fax: (610) 8078221 Email: Group LTD Claims

How to fill out attending physicians statement

How to fill out an attending physician's statement:

1. Start by gathering all the necessary information. This includes the patient's name, address, date of birth, and any relevant medical history.
2. Contact the patient's attending physician and request that they fill out the statement. Provide them with a copy of the form or direct them to where they can find it online.
3. Ensure that the attending physician completes all sections of the statement accurately and thoroughly. This may include information about the patient's diagnosis, treatment plan, and prognosis.
4. If there are any specific questions or prompts on the form, make sure the attending physician addresses them accordingly.
5. Review the completed statement for any errors or missing information. If necessary, reach out to the attending physician for clarification or additional details.
6. Once the statement is complete and accurate, submit it to the appropriate party or organization that requires it. This could be an insurance company, government agency, or employer.
7. Keep a copy of the filled-out attending physician's statement for your records.

Who needs an attending physician's statement?

1. Insurance companies often require an attending physician's statement when assessing claims for disability benefits or medical coverage.
2. Employers may request an attending physician's statement to determine an employee's fitness for work or to support a request for workplace accommodations.
3. Government agencies may require an attending physician's statement for various purposes, such as eligibility for disability benefits or social assistance programs.
4. Healthcare providers may also use attending physician's statements to assess the need for certain medical treatments or procedures.

Please note that the specific requirements for an attending physician's statement may vary depending on the intended purpose and the organization requesting it. It's essential to follow any guidelines or instructions provided by the requesting party.

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