Loading
Get Ph Certificate
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Ph Certificate online
Filling out the Ph Certificate online is a straightforward process designed to certify physical disabilities accurately and efficiently. This guide will provide step-by-step instructions to ensure you complete the form correctly.
Follow the steps to fill out the Ph Certificate online
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by affixing a recent photograph that clearly shows the disability. Ensure the photograph is duly attested by the Medical Superintendent, Chief Medical Officer, or Head of the Hospital, and includes their seal.
- In the designated section, clearly state the full name of the individual seeking the certificate, along with the name of their parent or guardian. Make sure to include their age and gender information.
- Enter the registration number provided during the assessment by the Medical Board.
- Indicate the type of disability in the relevant section, selecting from options such as physically disabled, visually disabled, speech and hearing disabled, or having mental retardation.
- Specify the percentage of permanent impairment related to the identified disability in the respective field.
- Indicate whether the condition is progressive, not progressive, likely to improve, or not likely to improve. Strike out any options that do not apply.
- Note if re-assessment is recommended and after what period, filling in the number of months or years as needed.
- Ensure that the form is signed by the attending doctors of the Medical Board and that their names, specializations, and seals are provided.
- Include the signature or thumb impression of the patient, and ensure the form is countersigned by the Medical Superintendent, Chief Medical Officer, or Head of the Hospital with their seal.
- After completing all sections, review the form for accuracy. You may then save changes, download, print, or share the completed document as needed.
Start filling out your Ph Certificate online today for a smooth and efficient application process.
In workers' compensation your degree of disability is a very important number. It explains, in percentages, how disabled you are from a medical perspective. That number is then used to determine how much money you will receive per week from workers' compensation.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.