Once a Healthcare Benefit Trust long-term disability claim is underway, the attending physician provides periodic updates on Form C. It is one of HBT's LTD maintenance forms, alongside the claimant's Form A and the Form D statement, and like the initial statement it goes to Canada Life, the Trust's claims-paying agent. The current revision is dated April 2026.
The claimant signs the authorization releasing claim information to Canada Life, the Trustees of the Trust and their agents. The attending physician completes the seven sections, from diagnosis to additional information and remarks.
Download the current version from the source each time; forms change without notice.
Attending Physicians Statement of Continuing Disability
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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The Attending Physician's Statement supports the initial long-term disability claim, while Form C, the Attending Physician's Statement of Continuing Disability, updates an ongoing claim. Form C focuses on progress since the last report: recovered, improved, not improved or retrogressed, current treatment, and return-to-work prognosis.
Yes. Section 6 asks whether the services of a rehabilitation consultant would help the patient return to work, and whether the patient is a suitable candidate for some form of trial employment or retraining, with space to comment.
The form states that copies of it and other medical reports will be released to the patient when requested in writing by the patient. Physicians can use the back page to expand on any heading or add information relevant to the claim.