What if your doctor refuses to sign?

Many informal caregivers encounter a problem when asking their own GP for a medical statement. It is important to know that this is usually not a lack of willingness, but a result of national guidelines.

Why the GP often refuses

According to the guidelines of the medical federation KNMG, a treating physician is not permitted to issue medical statements about their own patient that involve a judgment on a legal or administrative interest (such as the necessity for an informal care home). This is to protect the bond of trust between you and your doctor.

Image of a doctor

Alternative evidence

If your GP cannot or may not issue a statement, you can demonstrate the care need in the following ways:

  • The District Nurse: A nurse (level 6) can draft a care plan. This documents the actual care needs and the necessity for proximity, rather than the diagnosis. This is accepted by almost all municipalities.
  • Independent Medical Assessment: You can hire an independent physician (for example, through a specialized consultancy) to draft socio-medical advice. Although there are costs involved, this document provides a strong legal basis.
  • Social Neighborhood Team / Wmo Consultant: A report from a ‘kitchen table conversation’ or a support plan from the Wmo (Social Support Act) can also serve as proof of the care situation.

Please ask your municipality in advance which type of statement they accept if your GP follows the KNMG guidelines or contact us for guidance.