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Disability ClaimsAttending Physician Statement Use this form to provide us with the information we need from you and your physician to process your claim for disability benefits. Metropolitan Life

How to fill out metlife attending physician statement

How to fill out attending physician statement

1. To fill out an attending physician statement, follow these steps: 1. Start by writing the name of the patient at the top of the form.
2. Provide the patient's personal information, such as date of birth, address, and contact details.
3. Include the name and contact information of the attending physician or healthcare provider.
4. Fill in the date and time of the patient's initial visit to the physician.
5. Document the patient's medical history, including any pre-existing conditions or chronic illnesses.
6. Describe the patient's current symptoms or complaint in detail.
7. Include the results of any medical tests or diagnostic procedures performed on the patient.
8. Write down the physician's diagnosis and treatment plan for the patient.
9. If applicable, provide information on any medications prescribed to the patient.
10. Finally, sign and date the attending physician statement.

Who needs attending physician statement?

1. An attending physician statement is typically required by insurance companies, government agencies, or employers.
2. The following individuals may need an attending physician statement: - Insurance policyholders filing claims for disability, life insurance, or health insurance.
3. - Individuals applying for social security disability benefits.
4. - Employees seeking leave of absence or accommodations at work due to medical reasons.
5. - Patients involved in personal injury lawsuits.

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What is attending physician statement?

An attending physician statement (APS) is a document completed by a physician that contains medical information about a patient, usually necessary for insurance purposes.

Who is required to file attending physician statement?

Typically, the attending physician who provides medical care to the patient is required to file the attending physician statement.

How to fill out attending physician statement?

To fill out an attending physician statement, a physician should provide relevant medical history, diagnosis, treatment details, and any other required information as specified by the requesting insurance company.

What is the purpose of attending physician statement?

The purpose of the attending physician statement is to provide insurance companies with detailed medical information to assist in evaluating a claim, underwriting an insurance policy, or assessing patient eligibility for benefits.

What information must be reported on attending physician statement?

Information that must be reported on an attending physician statement includes patient's medical history, current diagnosis, treatment plan, prognosis, and any medications being taken.