SF 3112C – Physician’s Statement

SF 3112C - Physicians Statement

Form SF 3112C: Physician’s Statement is completed by your physician (or other qualified healthcare practitioner, e.g., psychologist, nurse practitioner, etc.).  Your physician’s testimonial is, by far, the most important component of your application for FERS Disability Retirement (FDR).

This article discusses the role of SF 3112C and provides some important tips for you and your doctor.  Before we delve into the specifics, however, let’s take a look at how SF 3112C fits into the big picture.

Overview

As mentioned in previous blogs, it can be helpful to think of your disability claim as a triangle:

One side of the triangle is the statement prepared by your physician (SF 3112C).  Another side is the statement prepared by your agency (SF 3112B, SF 3112D, and SF 3112E).  And the remaining side is your personal statement of disability (SF 3112A).

Ideally, all three statements should be consistent and should provide clear evidence of your eligibility for FDR benefits.

What is the Role of SF 3112C?

Your physician’s statement is an extremely important component of your disability claim.  OPM uses the information contained in SF 3112C to determine whether you meet the medical requirements for FDR.

Without a strong, detailed testimonial from your physician, it is highly unlikely that OPM will approve your claim.

Important Tips

As instructed on SF 3112C, the statement from your physician must include all the following:

  • The background/history of your disabling medical condition(s).
  • A list/discussion of past and present medications.
  • A list/discussion of past and present therapies and/or treatments.
  • A list/discussion of relevant hospitalizations.
  • A list/discussion of relevant operative procedures and/or diagnostic tests.
  • A detailed account of your symptoms and physical and/or mental limitations.
  • A specific prognosis.
  • A list/discussion of your medical restrictions.
  • Supporting medical documentation for all the above (e.g., reports, notes, summaries, etc.).

Most importantly, your physician’s statement should include a detailed discussion of the causal relationship between your disabling medical conditions and your inability to perform one or more essential functions of your federal position of record.

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I hope you find this information helpful.  For similar topics, please visit my Blog and FAQ.  Should you ever have questions about your eligibility for FERS Disability Retirement, please contact me to schedule your free 30-minute consultation!

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