Attending physician's statement - BPI-Philam 2026

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The document is an Attending Physician's Statement required for proof of death submitted to BPI-Philam Life Assurance Corp. It includes detailed questions regarding the deceased's identity, medical history, cause of death, and the physician's observations and treatments. The statement must be signed and notarized, confirming the accuracy of the information provided.

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Click ‘Get Form’ to open the attending physician's statement in the editor.
Begin by filling in the full name of the deceased and their last residence in Section 1. Provide your professional details, including your name, graduation year, and license number.
In Section 2, indicate whether you attended to the deceased during their last illness. Specify the disease, your first attendance date, and any complaints noted at that time.
Detail your diagnosis and treatment provided in Section 2. Confirm if you informed the deceased about their diagnosis and note how many times you attended them.
Section 3 requires information on the immediate cause of death and any signs of failing health. Document dates and durations related to confinement or bed rest.
In Section 4, list any other illnesses treated along with relevant details about other physicians or hospitals involved in care.
Finally, complete Sections 5 and 6 by confirming personal observations of the remains and signing off on the truthfulness of your statements.

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How do I contact Philam Life?

My Philippines CALL US. Philippines : (02) 8 528 2000. We are open Monday to Friday between 7:30 AM to 5:00 PM, and Saturday between 8:00 AM to 12:00 NN. Call our pldt ndd toll-free number 1800 10 528 2000. SCHEDULE A CALL. Email Us.

How do I claim BPI from Philam?

1. To file a claim, cardholder should notify BPI through 24-hour BPI Contact Center at (02) 889-10000 or 1-800-188-89100 within three (3) weeks from date of incident.

What does primary attending physician mean?

Primary attending physician means an attending physician who is assigned primary responsibility for a patient's care at the time the patient is admitted to the hospital.

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Can I withdraw my BPI-Philam Insurance?

You have the right to surrender the insurance policy at any time after the end of the prescribed lock-in period from the date of commencement of the policy. When you surrender the policy, you will receive and fully withdraw the fund value of your life protection policy.

How long is BPI-Philam?

About BPI-Philam Philam Life is the premier life insurance company in the Philippines and the market leader for over 70 years. BPI is a leading universal bank in the country with over 160 years of experience in the local banking industry and an extensive branch network of more than 1,000 branches and 3,000 ATMs.

How do I cancel my BPI Philam Insurance?

Call our BPI-Philam Customer Service at (02) 8528-5501 or PLDT Domestic toll-free 1-800-188-89100 (Press IVRS Option 4+2+1).

How do I claim BPI-Philam Life Insurance?

Call our BPI Customer Care at (632) 8 528-5501 or PLDT Domestic Toll Free 1-800-188-89100 (Press IVRS Option 4+2+1).

How can I check my BPI-Philam policy?