---
title: "What if your doctor refuses to sign?"
date: 2025-12-08
icon: "fas fa-heart-pulse"
description: "What if your GP refuses to sign? How can you obtain a valid medical statement for an informal care home?"
weight: 1
feedback: true
draft: false

faq:
  - question: "Who must draft the medical statement for an informal care home?"
    answer: "This can be an independent physician, a district nurse, or a medical advisor. Please note: your own GP is often not allowed to issue this statement due to national KNMG guidelines aimed at protecting the patient-doctor relationship."
  - question: "What information should be included in the statement of care need?"
    answer: "The statement must describe the nature and extent of the required informal care to demonstrate the necessity of the home. To safeguard your privacy, it must explicitly exclude medical diagnoses or sensitive patient data."
  - question: "Is an official CIZ indication mandatory for an informal care home?"
    answer: "No, a CIZ indication is not mandatory, but it serves as very strong evidence. You can also demonstrate the need for care with a care plan from a district nurse or a report from a 'kitchen table conversation' (Wmo) with your municipality."
---

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](/images/arts-001.webp)

### 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](/contact) for guidance.