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Community Social Services Employers Association
Early Intervention Program (CSS EIP)
CSS EIP Policy #51495/LTD Policy #51367CSSEIP
ATTENDING PHYSICIANS
STATEMENT OF DISABILITY
EMPLOYER NAME:
This
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What is early-intervention-attending-physician-statement?
The early-intervention-attending-physician-statement is a document that confirms a physician's evaluation and diagnosis of a patient's condition, typically used to facilitate access to early intervention services.
Who is required to file early-intervention-attending-physician-statement?
The statement must be filed by healthcare providers or physicians who assess and treat patients requiring early intervention services.
How to fill out early-intervention-attending-physician-statement?
To fill out the statement, the physician needs to provide their contact information, patient details, a description of the medical condition, and the recommended early intervention services.
What is the purpose of early-intervention-attending-physician-statement?
The purpose of the statement is to ensure that patients receive timely access to necessary early intervention services based on medical evaluation.
What information must be reported on early-intervention-attending-physician-statement?
The statement must include the patient's name, date of birth, medical diagnosis, the nature of the intervention needed, and the physician's credentials.
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