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ATTENDING PHYSICIANS STATEMENT - Pru Life UK 2026
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- Click ‘Get Form’ to open the ATTENDING PHYSICIANS STATEMENT in the editor.
- Begin by entering the date at the top of the form. This is essential for record-keeping.
- Fill in the patient's name, birthdate, and address details accurately. Ensure that all information is current and correct.
- Respond to each question directed to you as the medical adviser. Start with how long you have been the medical attendant and provide details about your records.
- Detail any relevant lifestyle habits of the patient, including smoking and drinking, as well as any significant past illnesses or accidents.
- Indicate any ongoing treatments or investigations, including dates and results. This information is crucial for assessing life expectancy.
- If applicable, provide information about any other attending physicians who have treated the patient previously.
- Finally, add any additional comments that may assist in evaluating the application before signing over your printed name and providing your license number.
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| Versions | Form popularity | Fillable & printable |
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| 2009 | 4.6 Satisfied (65 Votes) |
What is an attending physician statement for life insurance?
The APS is a standard summary of your overall health, medical history, and any known medical conditions the insurer will need to know. The APS servers as a means to document and assess your risk to the insurance company.
What is the attending physician statement letter?
An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information.
Where do I get an attending physician statement?
When you file your claim for short-term disability or long-term disability benefits, the insurance carrier will likely send you an Attending Physician Statement (APS) form for your treating medical provider to complete.
Who completes an attending physicians statement?
This statement, filled out by your attending physician, provides the disability insurance company with vital data to assess the validity of your disability claim. The APS can influence the decision-making process significantly, making it crucial to ensure it is accurately and thoroughly completed.
Who fills out an attending physician statement?
Have the appropriate doctor complete the APS. You may have multiple doctors treating you for different medical issues, not all relating to your disability. It is important that the doctor treating your disabling condition is the one completing the APS.
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Who is considered the attending physician?
In a medical facility, the the attending physician is the physician who has the major responsibility for a patients care. Attending physicians have completed their training and often play an active role in the education of medical students.