Information needed from you and your physician - MetLife's eForms! 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section 1, where you will enter your personal information. Fill in your first name, middle name, last name, birth date, employer name, and claim number. Ensure that you authorize your physician to share medical information by signing at the bottom.
3. In Section 2, your physician will need to provide detailed health information about your condition. This includes treatment dates, diagnosis codes, and any medications prescribed. Make sure they complete this section thoroughly.
4. If applicable, Section 3 requires the physician's signature and contact details. Ensure all fields are filled out correctly before submission.
5. Finally, follow the instructions in Section 4 for submitting the form via mail or fax. Remember to include your claim number on all documents.

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