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Attending Physicians Statement (Supplementary Statement on Disability) Please PRINT clearly. Please answer all questions in full. If with erasures, please countersigning this form, “you and “your

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What is attending physicians statement?

Attending physicians statement is a medical report completed by a treating physician that provides information about a patient's medical condition and ability to work.

Who is required to file attending physicians statement?

The patient's attending physician is required to file the attending physicians statement.

How to fill out attending physicians statement?

The attending physician must provide accurate and detailed information about the patient's medical condition, treatment plan, and ability to work on the attending physicians statement form.

What is the purpose of attending physicians statement?

The purpose of attending physicians statement is to provide documentation of the patient's medical condition and ability to work for insurance or disability claims.

What information must be reported on attending physicians statement?

The attending physicians statement typically includes details about the patient's diagnosis, treatment plan, prognosis, and any limitations on their ability to work.

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