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AFFIDAVIT OF HEALTHCARE PROFESSIONAL PER SECTION 28338(c) OF THE RHODE ISLAND WORKERS\' COMPENSATION ACT State of Rhode Island Workers\' Compensation Court Medical Advisory Board One Dorrance Plaza,
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Obtain the affidavit of healthcare professional form from the relevant institution or website.
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Fill in your personal information, including your name, address, and contact information.
03
Provide details about your medical condition or the condition of the person you are seeking the affidavit for.
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Have a healthcare professional, such as a doctor or nurse, complete the necessary sections of the form, including their contact information and signature.
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Review the completed form for accuracy and make any necessary corrections before submitting it.

Who needs affidavit of healthcare professional?

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Individuals who require medical documentation for official purposes, such as submitting a claim for insurance benefits or requesting accommodations for a medical condition.
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An affidavit of healthcare professional is a sworn statement provided by a qualified healthcare professional that attests to specific aspects of a patient's condition, treatment, or other relevant medical information.
Typically, healthcare professionals involved in a case or legal matter, such as doctors, nurses, or therapists, are required to file an affidavit of healthcare professional when medical information is pertinent.
To fill out an affidavit of healthcare professional, the individual must provide their personal information, the patient's information, the medical facts being attested to, and their professional qualifications, followed by signing the document in front of a notary.
The purpose of the affidavit of healthcare professional is to provide a legally binding statement that confirms the accuracy of medical facts and opinions that may be important in legal proceedings or medical claims.
The affidavit must include the professional's credentials, details of the patient's diagnosis and treatment, observations made, and any other relevant medical facts that support the claims being made.
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