Aps 5320 group form-2025

1. Click ‘Get Form’ to open the aps 5320 group form 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 this section.
3. Proceed to Section 2, which must be completed by your physician. This section requires detailed health information about your condition. Your physician should provide treatment dates, diagnosis codes, and any relevant clinical findings.
4. In Section 3, ensure that your physician signs and provides their contact information. This is crucial for processing your claim efficiently.
5. Finally, review all sections for completeness before submitting. Use our platform’s features to save and send the completed form via fax or mail as instructed in Section 4.

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