Attending Physician Statement Template

Fillable Rheumatology Attending Physician Statement Form printable pdf
Fillable Rheumatology Attending Physician Statement Form printable pdf from

As we navigate through the year 2023, attending physician statements have become an integral part of various processes. Whether it’s for an insurance claim, disability application, or employee verification, having a well-documented and comprehensive attending physician statement is crucial. In this article, we will explore the importance of attending physician statements, provide a template that can be used, and offer tips for creating an effective statement.

Table of Contents

  1. Importance of Attending Physician Statements
  2. Attending Physician Statement Template
  3. Tips for Creating an Effective Statement
  4. Conclusion

Importance of Attending Physician Statements

Attending physician statements serve as a vital source of information for insurance companies, employers, and other relevant parties. These statements provide an objective overview of a patient’s medical condition, treatment plan, prognosis, and any limitations or restrictions they may have. This information is crucial in determining the validity of an insurance claim, understanding an employee’s ability to perform job duties, or assessing an individual’s eligibility for disability benefits.

Insurance companies heavily rely on attending physician statements to assess the risk associated with insuring an individual. These statements help insurers evaluate the severity of a medical condition, the effectiveness of treatments, and the potential impact on the individual’s ability to work or carry out daily activities. Similarly, employers may request attending physician statements to ensure that an employee’s medical condition does not pose a risk to themselves or others in the workplace.

Attending Physician Statement Template

When creating an attending physician statement, it is essential to include specific details that provide a comprehensive overview of the patient’s medical condition. While the content may vary depending on the purpose of the statement, here is a general template that can be used:

Section Information to Include
1. Patient Information Full name, date of birth, contact information
2. Medical History Overview of the patient’s medical history, including any pre-existing conditions
3. Current Diagnosis The specific medical condition(s) the patient is currently experiencing
4. Treatment Plan Details of the current treatment plan, including medications, therapies, or surgeries
5. Prognosis An assessment of the patient’s expected outcome and future medical needs
6. Limitations and Restrictions Any physical or mental limitations or restrictions the patient may have
7. Functional Assessment An evaluation of the patient’s ability to perform daily activities or job duties
8. Follow-up Recommendations Any recommended follow-up appointments, tests, or treatments

Tips for Creating an Effective Statement

While using the above template can be helpful, here are some additional tips to consider when creating an attending physician statement:

1. Be Clear and Concise

Ensure that the statement is easy to understand and avoids medical jargon. Use clear and concise language to convey the necessary information.

2. Include Relevant Medical Evidence

Support the statement with relevant medical evidence such as test results, imaging reports, or specialist consultations. This helps provide a more comprehensive view of the patient’s condition.

3. Address Specific Questions or Concerns

If the attending physician statement is in response to specific questions or concerns, ensure that each question is addressed thoroughly and accurately.

4. Update the Statement Regularly

Medical conditions can change over time, so it is important to update the attending physician statement regularly to reflect any changes in the patient’s condition or treatment plan.

5. Review and Proofread

Before submitting the attending physician statement, carefully review and proofread it for any errors or inconsistencies. This will help ensure that the information provided is accurate and reliable.


Attending physician statements play a crucial role in various processes, providing valuable information about a patient’s medical condition. By following a template and incorporating relevant details, attending physician statements can effectively convey the necessary information to insurance companies, employers, or other relevant parties. Remember to regularly update and review the statement to ensure its accuracy and reliability. With a well-crafted attending physician statement, you can provide the necessary information to support insurance claims, disability applications, or employee verifications.