Get Tx Tdi Dwc032 2018-2025

The TX TDI DWC032 is a vital form used to request a designated doctor examination for workers' compensation cases in Texas. This guide provides comprehensive, step-by-step instructions to help you successfully complete the form online with clarity and ease.

Follow the steps to complete the TX TDI DWC032 online effectively.

1. Click the 'Get Form' button to obtain the form and open it in your preferred online editor.
2. Begin filling in the injured employee's information. Provide the employee name, social security number, address, county, and primary phone number. If applicable, include the alternate phone number and date of birth.
3. Next, input the date of injury and provide details for any representatives involved, including their name, phone number, email address, and fax number, if applicable.
4. Complete the employer's information by entering their phone number, name, and address.
5. Move on to the insurance carrier section. Fill in the insurance carrier's name, address, adjuster name, and contact details.
6. Answer the questions regarding whether the claim involves medical benefits through specific networks or health plans.
7. For the treating doctor information, provide the treating doctor's name, address, license number, and contact details.
8. In the designated doctor selection section, check all applicable body areas and diagnoses that the designated doctor should evaluate.
9. Indicate the purpose for the examination by checking the necessary boxes A through G, and providing the required information for each if applicable.
10. Address questions for the designated doctor, ensuring to note whether prior forms are needed based on the selection.
11. Document any injuries accepted as compensable and details on previous examinations if necessary.
12. Complete the requester's certification section, selecting the appropriate requester type, signing, and dating the form.
13. Once completed, review all provided information for accuracy and completeness. Save your changes, download, print, or share the completed form as needed.

Complete the TX TDI DWC032 online to ensure a smooth application process for your designated doctor examination.