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PROTECTED B (when completed)Supplementary Attending Physicians Statement (APS) Long Term Disability Manulife Group Policy # 901102 / 911104 / 911105Part I TO BE COMPLETED BY PATIENT/CLAIMANTLTD Claim.

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Medical exams are conducted by life insurance companies to ensure they have an accurate picture of who they're insuring (and for how much). It's easy to lie or exaggerate about your health and well-being when applying for a policy.

You might be requested to approach your doctor to fill out the Attending Physician Statement or the carrier may send it directly.

APS (Attending Physician Statement) is a form required by insurance companies whenever applying for insurance. The form is filled by a physician illustrating the exact medical status of the insured person and if he is suffering any medical condition that conflicts with the insurance plan.

Get an attending physician's statement If the underwriter still has questions after looking over the results from your medical exam, they might request an attending physician's statement or APS. You can get one from your doctor, and it's a summary of your health and medical history.

Who completes an Attending Physician Statement? In order to be effective, an Attending Physician Statement must be completed by a doctor who knows you in person — your insurer or agency will reach out to get information from a physician who has either treated you in the past or is currently providing treatment.

What is an APS? “The Attending Physician Statement is a summary of your health condition, written from a doctor or medical facility that either has treated or is currently treating someone that is seeking life insurance,” explains Paya Schlass, Customer Success Manager at Haven Life.

An attending physician statement helps the insurance company learn more about your history with a pre-existing condition. An APS request can lengthen the underwriting period, but it ensures you get accurate policy rates. The cost of the life insurance medical exam and APS (if required) are covered by your insurer.

Typically, an APS includes places to indicate diagnoses, currently prescribed medication, and the length and extent of your treatment relationship with your treating medical provider.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232