Form- Affidavit When Patient Isn’t Included On Police Report
Dear Provider; Please see the attached Affidavit regarding non-inclusion in a police report. It is to be used when a patient is treating at your office and was not included on the police report. Click here to see a nice PDF form that you can download for free This form should be used to CYA in the event the insurance company claims the patient was not involved in the motor-vehicle accident because the patient was not listed on the police