Get Attending Physicians Statement (aps)

The Attending Physicians Statement (APS) is a crucial document for long-term disability claims. Completing this form accurately and thoroughly is essential for ensuring that the necessary information is provided to support your claim.

Follow the steps to accurately complete the APS online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the member information in Part I. This includes the service number, surname, first name, initials, mailing address, home phone, and email address.
3. In Part II, the patient or claimant must provide a declaration and authorization. Ensure all statements are accurate and complete, as this section authorizes the release of personal information.
4. The attending physician should complete Part III, detailing the patient's diagnosis and any supporting medical evidence. Use objective terms and provide copies of relevant medical documentation.
5. In the current symptoms section, specify all symptoms contributing to the diagnosis. This includes both physical and psychiatric functional impairments.
6. Complete the treatment section by listing current medications, other treatment forms, and any relevant hospitalization details. Be sure to note the patient’s compliance with the treatment plan.
7. When discussing prognosis, summarize the patient's ability to return to work including any restrictions or limitations.
8. Sign and date the form where indicated, confirming the truthfulness of the information provided.
9. Finally, review all entries for accuracy before submitting the form. Users can save changes, download, print, or share the completed document.

Complete the Attending Physicians Statement (APS) online today to ensure a smooth claims process.