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BEI IM TS Bell MTS Form 1109 (11/12/19)Physician\'s Certificate of Disability for Duty Please send this form to the appropriate Disability Management Group by fax or by mail using the below address
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Identify the specific challenge faced by the doctor
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Doctors who are facing complex medical cases or difficult patient situations
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Resolve challenge of doctor is the process of addressing and resolving any disputes or issues that may arise between a doctor and their patients.
Either the doctor or the patient may file a resolve challenge of doctor depending on the nature of the dispute.
The resolve challenge of doctor form can be filled out by providing details of the dispute, including the names of the parties involved and a summary of the issue.
The purpose of resolve challenge of doctor is to facilitate a resolution between the doctor and patient in a fair and impartial manner.
The resolve challenge of doctor form must include details of the dispute, any relevant medical records, and any attempts at resolving the issue prior to filing.
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