Get the free Attending Physician Statement

This form is used by an attending physician to provide information necessary for assessing a disability claim. It includes sections for patient history, diagnosis, treatment plans, and physical and

How to fill out attending physician statement

How to fill out Attending Physician Statement

1. Obtain the Attending Physician Statement form from the appropriate source.
2. Fill in the patient's personal information, including name, date of birth, and medical record number.
3. Provide details about the patient's medical condition, including diagnosis and relevant medical history.
4. Include information about the treatments administered and the patient's response to treatment.
5. Sign and date the form to validate the information provided.
6. Submit the completed form to the designated insurance company or organization.

Who needs Attending Physician Statement?

1. Insurance companies requesting verification of a patient's medical condition.
2. Disability benefits applicants needing to provide medical information.
3. Employers offering short-term or long-term disability benefits.
4. Legal cases requiring medical evidence to support claims.

People Also Ask about

Who completes an attending physician's statement?

This statement, filled out by your attending physician, provides the disability insurance company with vital data to assess the validity of your disability claim.

Is attending the highest level of doctor?

Attending doctors are the highest in level of seniority. They are fully licensed and can practice independently. American Medical Association.

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

Your treating doctor, also known as your attending physician, is the person who's primarily responsible for treating your injuries. You need a doctor that does more than treat your injuries — you need someone who will help you with your workers' compensation case.

What is attending physician in English?

A medical doctor who is responsible for the overall care of a patient in a hospital or clinic setting.

What is included in an attending physician statement?

Typically, an APS includes places to indicate diagnoses, currently prescribed medication, and the length and extent of your treatment relationship with your treating medical provider.

What is meant by attending a physician?

An attending physician is a doctor responsible for providing care for a patient in a hospital or other clinical facility. Every attending physician is board-certified and has completed their residency training.

What is an example of an attending physician?

Attending physicians may also still be in training, such as a fellow in a subspecialty. For example, a cardiology fellow may function as an internal medicine attending, as they have already finished residency in internal medicine. The term is used more commonly in teaching hospitals.

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.

For pdfFiller’s FAQs

What is Attending Physician Statement?

An Attending Physician Statement (APS) is a document completed by a healthcare provider that outlines a patient's medical condition, treatment history, and prognosis, often required by insurance companies for claims or underwriting purposes.

Who is required to file Attending Physician Statement?

The attending physician who has treated the patient is typically required to file the Attending Physician Statement, especially when requested by the insurance company or during claims processing.

How to fill out Attending Physician Statement?

To fill out an Attending Physician Statement, the physician should accurately complete all sections, providing detailed information about the patient's medical history, diagnosis, treatment, and any relevant findings, ensuring all information is clear and concise.

What is the purpose of Attending Physician Statement?

The purpose of the Attending Physician Statement is to provide a comprehensive medical overview that assists insurance companies in assessing coverage, processing claims, evaluating the validity of a claim, and determining disability and eligibility for benefits.

What information must be reported on Attending Physician Statement?

The Attending Physician Statement must report information such as the patient's diagnosis, treatment plan, medications prescribed, medical history, examination findings, and a prognosis regarding the patient's condition.