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| Attending Physician's Statement |
| Description: The Attending Physician’s Statement form is essential for establishing a foundation of expectations from your members. Most membership contacts allow for cancellation due to death or disability. However, in many instances when the disability in not considered permanent, facilities can provide the member a leave of absence for a set period of time, i.e. 2-6 months, whereby the members dues are lowered or place on hold for an agreed to period of time. In both cases, when requested, it is important to have your members verify their condition by providing them an Attending Physician’s Statement. The member must deliver the Attending Physician’s Statement to their physician and it must be completed in the handwriting of the physician and mailed by him/her to facility before any action should be taken by the facility. This form should be used as a guide and modified to meet the laws in your state or country if necessary. Once purchased, this form can be accessed within seconds and is easily modified to meet your specific needs. This one-page Microsoft Word document (.doc) is suitable for use with most word processing programs used in the Windows environment. Click Here to Preview |
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