Get Statement Of Good Health Form

What is a statement of good health? It's a document containing a series of questions about your overall health, such as if you're a smoker or if you've ever been treated for a medical condition, like cancer or high blood pressure.

A Statement of Health is a document containing a series of questions about your overall health — such as if you're a smoker or if you've ever been treated for a medical condition, like cancer or high blood pressure.

Your Personal Health Statement (PHS) is designed to help you better understand your recent medical and prescription claims including: Total amounts charged. Your discounts just for being a member. What your health plan paid on your claims. And what you owe, or may have paid, to your medical provider.

This form or a photographic copy of it authorizes to the extent permitted by the state laws of the applicable state any doctor or other practitioner and any hospital or sanitarium to give the Insurance Company all information you may have concerning my condition or that of my wife and children...

Proof of good health, also known as Evidence of Insurability (EOI), is an application process in which you provide information on the condition of your health and/or your dependent's health to get certain types of insurance coverage.

I have examined the individual named above and to the best of my knowledge; he/she is in good physical and mental health, free of any communicable diseases and is able to function in his/her profession at full capacity. By signing below I certify that the above information is true.

Statement of Health (SOH), also known as “evidence of good health” is the process by which MetLife determines if you are healthy enough to be considered eligible for the amount of insurance coverage for which you are seeking.

I have examined the individual named above and to the best of my knowledge; he/she is in good physical and mental health, free of any communicable diseases and is able to function in his/her profession at full capacity. By signing below I certify that the above information is true.