Manulife update form 2025

1. Click ‘Get Form’ to open the Manulife update form in our editor.
2. Begin by filling out the Patient Authorization section. Enter the patient's name, plan contract number, and address. Ensure you include their date of birth, height, and weight.
3. In the Diagnosis section, provide details about any conditions or complications. Include subjective symptoms and pregnancy-related information if applicable.
4. For Physical Impairment, indicate whether the patient has a physical impairment and specify their ability levels for lifting, carrying, sitting, standing, and walking.
5. Complete the Cognitive/Mental Impairment section by marking any restrictions in concentration or social interaction. Provide relevant diagnosis details.
6. Fill out the Treatment Update section with visit frequencies and treatment nature. Include hospital admission dates if applicable.
7. Finally, complete the Physician's Authorization section with your details and signature before submitting the form.

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