Get Form - Coid - W.cl.304 - Final Or Progress - Department Of Labour

Filling out the Form - COID - W.Cl.304 is essential for submitting a final or progress medical report for post-traumatic stress disorder. This guide provides clear, step-by-step instructions to help users complete this form accurately and efficiently online.

Follow the steps to complete your medical report form online.

1. Click 'Get Form' button to access the form and open it in the editor.
2. Enter the claim number at the top of the form to ensure it is correctly associated with the case.
3. Provide the employee's full name and surname, followed by their identity number.
4. Fill in the employee's address, including the postal code, for proper identification.
5. Input the name and address of the employer to establish the relationship in the context of the claim.
6. Specify the date of the accident that is relevant to the claim.
7. Detail any treatments or tests performed, along with their respective dates, to give a comprehensive view of the medical attention received.
8. Provide a prognosis and any plans for further treatment in the space allocated for that information.
9. Indicate the date from which the employee has been fit to return to their normal work, and provide an estimate of when they are likely to be fully fit.
10. Confirm whether the employee's condition has stabilized and fill out the Final 5 Axis diagnosis if applicable.
11. Describe any current permanent impairments resulting from the condition, indicating applicable scales (GAF, SOFAS, SASOP).
12. Certify the employee's condition as a result of the accident by signing the form and providing the name and date, as well as practice number and address.
13. Review all entered information for accuracy, then save changes, download the file, or print it to share as necessary.

Complete your forms online today for a more streamlined process.