Who can fill out the Statement of Physician?

Ideally, a doctor or mental health specialist with knowledge of your condition should fill out the Statement of Physician. This doctor cannot be a family member. A nurse practitioner can also complete the form. However, a physician assistant cannot sign off on the form unless it is co-signed by the practicing doctor (M.D., D.O., G.P.). Prior to your appointment, we highly recommend printing out a copy of your completed Self-Report of Medical Conditions from your online application and brining it with you to your doctor’s appointment.