PRIVATE PHYSICIAN PROCESS FORMS


FORMS


Individual Forms


WTC HEALTH PROGRAM GUIDANCE


The WTC Health Program has published the following materials related to the VCF Private Physician process. Claimants are strongly encouraged to review these materials before completing the Private Physician forms.


Click here to visit the WTC Health Program website.


IMPORTANT REMINDERS

  • If you enter information into one of these files and save it to your computer, please save the file with a new name. Please also remember that the file contains personal information. You may not want to save the file on a public or shared computer where others have access.
  • We can process your claim faster if you gather all the completed forms and relevant documents and upload them to your online claim at the same time or return them in one mailing. When uploading any portion of the Private Physician forms to the online claim, please select from the Eligibility document types and choose "Private Physician Forms" as the applicable document type.