Follow the steps to complete the WA F245-462-000 form online.

1. Click ‘Get Form’ button to access the WA F245-462-000 form and open it in your preferred editor.
2. In Section 1: Demographics, input the worker’s name, provider name, claim number, date of injury, date of visit, face-to-face time, location/setting, and attending provider details.
3. In Section 2: Intake and History, for a re-assessment, provide details on changes in status from prior assessments and any changes in the treatment plan, including the rationale and date of change. Also, update the psychometric measures (PHQ-4 Score, GCPS Scores) associated with both initial and current visits.
4. Indicate any additional providers or resources you will coordinate with outside of treatment sessions to progress treatment goals, such as claim manager or activity coach.
5. Describe behaviors, beliefs, or issues that may be impeding recovery, listing all that apply. Examples can include interpersonal relationships or support systems.
6. In Section 3: Goals, list mutually agreed upon treatment goals, strategies, and any functional improvements. Ensure to update prior treatment goals and behavioral interventions.
7. Provide the estimated completion date for the agreed-upon treatment goals and include any pertinent notes for the claim manager.
8. Complete the therapist’s name, phone number, and ensure the therapist signs and dates the form.
9. Finally, submit the completed form to the Department of Labor & Industries and the attending provider. You can save changes, download, print, or share the form as needed.

Take action now and complete your WA F245-462-000 form online for efficient processing.