Get Apf Form

Filling out the Activity Prescription Form (Apf) online is an essential step in documenting changes in a worker's medical status and work capabilities. This guide provides comprehensive instructions to help you successfully complete the form with ease.

Follow the steps to fill out the Apf Form online effectively.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin by entering the worker's name in the designated field. Make sure to provide accurate information as this identifies the person associated with the claim.
3. Fill in the patient ID, which links the form to the specific individual’s records.
4. Input your healthcare provider’s name, ensuring it is printed clearly.
5. Enter the visit date, claim number, and date of injury to ensure all information is correctly documented.
6. Provide a diagnosis that accurately reflects the condition of the worker as this is crucial for treatment plans.
7. In the 'Work status' section, indicate whether the worker is released to the job of injury or requires modified duty. Provide specific dates when applicable.
8. Complete the 'Measurable Objective Finding(s)' section. Detail the findings that support the work status and indicate dates relevant to the worker’s ability to perform duties.
9. Next, specify the hours the worker may engage in limited duties, along with the respective dates for this arrangement.
10. If applicable, note any additional restrictions or instructions that the worker must follow.
11. Select the duration for which the worker's current capacities apply based on your assessment.
12. In the 'Plans' section, estimate what the worker can do at work and at home, marking the corresponding boxes to indicate limitations.
13. Provide additional notes regarding the contact with the employer and whether modified duty is available.
14. Complete any necessary information related to worker’s progress and current rehabilitation details.
15. Finally, ensure all signatures are collected, confirming the accuracy of filled information before proceeding to submit.
16. Once everything is completed, save your changes, and download, print, or share the completed form as needed.

Take the next step in managing your documents by filling out the Apf Form online today.