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