Get Medco 14

The Medco 14 form, also known as the Physician’s Report of Work Ability, is essential for documenting an injured worker's ability to return to work. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all necessary information is captured accurately.

Follow the steps to complete the Medco 14 form efficiently.

1. Click 'Get Form' button to obtain the Medco 14 form and open it in your preferred digital editor.
2. Enter the injured worker's name, claim number, date of injury, employer's name, and the worker's position at the time of injury in the designated fields. It is crucial to have all identification and employment details accurate to ensure proper processing.
3. Document the date of the last examination or treatment, along with the date for the next appointment. This will help track the injured worker's progress.
4. In the 'Injured worker progress' section, indicate the progress of the injured worker by selecting one of the options: as expected, better than expected, or slower than expected. If a Medco 14 was previously submitted, note any changes in Sections 2 through 7.
5. In the 'Work status' section, review the injured worker’s job duties as they were on the date of injury. Use the options provided to state whether the worker is temporarily not released to any work, released with restrictions, or fully released without restrictions.
6. Provide details about the injured worker’s capabilities related to work activities, such as how many total hours they can work and their capacity for various movements (e.g., grasping, lifting). This information is vital for assessing possible work opportunities.
7. Complete the sections on medications that may affect work duties and provide detailed notes on the potential side effects. This ensures safety during employment.
8. Fill out the 'Disability period information' section, accurately providing the diagnosis, location, and associated ICD codes for conditions treated due to the work-related injury.
9. Complete the 'Clinical findings' and 'Maximum medical improvement (MMI)' sections, explaining any barriers to recovery and whether MMI has been reached.
10. In the 'Vocational rehabilitation' section, indicate whether the injured worker is a candidate for these services and provide recommendations for returning to employment if applicable.
11. Finally, sign and date the form in the 'Treating physician’s signature' section. It is essential to certify the accuracy of the provided information.
12. Once completed, save changes to the document. You may also download, print, or share the form as necessary.

Complete the Medco 14 form online today to ensure timely processing of the injured worker's information.