Aflac Physician Statement Form

Download Aflac Short Term Disability Claim Form/ Initial Disability

Aflac Physician Statement Form. Web file a critical illness claim online. *before filing a critical illness claim online, please ask your physician to complete and return the physician's statement form*.

Download Aflac Short Term Disability Claim Form/ Initial Disability
Download Aflac Short Term Disability Claim Form/ Initial Disability

• do print this form and bring it to your provider to complete. If you have already had your physician complete and. (forms are to be completed on or after disability date to avoid processing delays) policy holder’s name policy/certificate number. • do complete this form for all outpatient treatment or surgeries. For use with accident, cancer and/or sickness only. Web file a critical illness claim online. *before filing a critical illness claim online, please ask your physician to complete and return the physician's statement form*.

*before filing a critical illness claim online, please ask your physician to complete and return the physician's statement form*. Web file a critical illness claim online. If you have already had your physician complete and. (forms are to be completed on or after disability date to avoid processing delays) policy holder’s name policy/certificate number. • do complete this form for all outpatient treatment or surgeries. For use with accident, cancer and/or sickness only. *before filing a critical illness claim online, please ask your physician to complete and return the physician's statement form*. • do print this form and bring it to your provider to complete.