Get Injuries Board Form B

This guide provides clear and supportive instructions on filling out the Injuries Board Form B online. By following these steps, you can ensure that your claim is submitted accurately and efficiently.

Follow the steps to complete your Injuries Board Form B online.

1. Press the ‘Get Form’ button to access the Injuries Board Form B. This will open the form in your chosen online editor.
2. Begin by entering the application number if you have one. This number helps track your claim more efficiently.
3. Fill in the claimant's name and address accurately, as this information is crucial for communication.
4. Indicate the claimant's gender, marital status, date of birth, and occupation, along with whether they are currently at work.
5. Provide the physical details of the claimant, including height, weight, hand dominance, and the date of the accident and examination.
6. In the section for brief details of the accident, clearly summarize what occurred to provide context to your claim.
7. List all injuries sustained during the incident, ensuring you include any diagnostic information available.
8. Record the date when treatment was first sought and from whom. Include whether the patient was hospitalized and details of the hospitalization.
9. Document the length of absence from work, total number of general practitioner visits, and visits to specialists.
10. If applicable, mention the number of physiotherapy sessions undertaken and any ongoing treatments or investigations.
11. Detail the claimant's relevant medical history, including any prior accidents or issues, and indicate if any pre-existing conditions were aggravated.
12. Clarify the present complaints and provide clinical findings observed during examination.
13. Assess the degree to which the claimant’s condition affects various abilities and document the anticipated future treatment required.
14. Provide an opinion or comment on the latest prognosis, including whether injuries are consistent with the accident.
15. Specify if further investigations or specialist reports are required, and indicate the expected time for full recovery.
16. Conclude with general comments and observations, and ensure the form is signed by the practitioner with their name printed in block capitals, along with their qualifications and date of completion.
17. Finally, save your changes, then download, print, or share the completed form as necessary.

Fill out your Injuries Board Form B online today and ensure your claim is processed smoothly.