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A physician statement contains the patient's personal information as well as the medical history including past medical conditions, treatments applied, and results. It also includes information about the current medical status and if the patient is currently under any kind of treatment or medications.Attending Physician Statements are key to verifying your disability claim. NOTICE TO TAXPAYER AND PHYSICIAN: Section 196. An Attending Physician Statement (APS) is a form questionnaire from the insurance company that your treating doctor must complete. The attending physician's statement (APS) is one of many methods insurance companies use to determine whether you are disabled or not. Attending Physician Instructions: • Complete the entire form and return to the employee. 1. Patient Information. Name. • Submitting an incomplete form may delay processing your claim. Your patient is responsible for the cost of completing this form. 1.