Get the free Attending Physician's Statement

A form used by physicians to provide medical information regarding a patient's claim for long-term disability benefits.

How to fill out attending physicians statement

How to fill out Attending Physician's Statement

1. Start by obtaining the blank Attending Physician's Statement form from the requesting party, such as an insurance company.
2. Fill in the patient's personal information at the top of the form, including name, date of birth, and medical record number.
3. Provide details of the patient's medical history relevant to the condition being assessed.
4. Describe the current medical condition, including symptoms and diagnoses.
5. Include any treatments or procedures that have been undertaken related to the condition.
6. State the physician's prognosis and any expected outcomes for the patient.
7. If applicable, indicate any limitations the patient may have as a result of their condition.
8. The physician should sign and date the form to validate the statements made.

Who needs Attending Physician's Statement?

1. Individuals applying for disability benefits.
2. Patients seeking life or health insurance.
3. Those filing claims for critical illness or long-term care insurance.
4. Employers requesting medical information for employee health assessments.

People Also Ask about

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.”

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

Attendings are fully licensed doctors responsible for overseeing the care team, while residents are physicians in training working under their supervision. Residents play a crucial role in day-to-day patient care, acting as the first point of contact and communicating patient concerns to attending physicians promptly.

Is attending the highest level of doctor?

While residents undergo specialized training under the guidance of attending physicians, attending physicians hold the highest positions, overseeing patient care and providing mentorship. These differences include autonomy, patient care responsibilities, educational roles, salary prospects, and work settings.

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.

Who is considered the attending physician?

In a medical facility, the the attending physician is the physician who has the major responsibility for a patient's care. Attending physicians have completed their training and often play an active role in the education of medical students.

Who completes an attending physician's statement?

Have the appropriate doctor complete the APS. You may have multiple doctors treating you for different medical issues, not all relating to your disability. It is important that the doctor treating your disabling condition is the one completing the APS.

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 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.

For pdfFiller’s FAQs

What is Attending Physician's Statement?

An Attending Physician's Statement (APS) is a document completed by a physician that provides information about a patient's medical condition, treatment, and prognosis.

Who is required to file Attending Physician's Statement?

Typically, the attending physician who is responsible for the ongoing care of the patient is required to file the Attending Physician's Statement, often at the request of insurance companies.

How to fill out Attending Physician's Statement?

To fill out an APS, the physician should provide clear and accurate details about the patient's medical history, current condition, and any treatments administered, typically following a specific format provided by the requesting entity.

What is the purpose of Attending Physician's Statement?

The purpose of an Attending Physician's Statement is to provide necessary medical information to assist insurance companies or other entities in making informed decisions regarding claims, benefits, or coverage.

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

The APS must report information such as the patient's diagnosis, date of onset of the condition, treatment history, medications prescribed, and the physician's assessment of the patient's prognosis.