Sun life attending statement: Fill out & sign online

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Click ‘Get Form’ to open the attending CCR CIB form in the editor.
Begin by filling out the 'Life Insured / Patient Information' section. Enter the policy number, date of birth, name, residence address, contact numbers, and email address clearly using black ink.
If the policy owner is different from the life insured, complete their details as well. Ensure that all information is accurate to avoid processing delays.
In the 'Authorization' section, sign and print your name along with the date of signing. This allows for processing and disclosure of personal information.
Next, move to the 'Physician’s Statement' section. The attending physician should provide details about diagnosis dates, symptoms duration, and any treatments received.
Ensure that all questions regarding daily living activities and past health history are answered thoroughly by the physician for a comprehensive assessment.
Finally, have the attending physician sign and provide their printed name, license number, and contact information before submitting the form.

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sun life physicians statement

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