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  • Work Comp Medical Release Form - State Of Illinois - State Il

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Ysician, psychologist, psychiatrist, dentist, hospital or other medical provider to furnish all records, reports, histories, diagnostic tests and evaluation, physician and nurses notes and therapy notes in their possession regarding diagnosis and prognosis for my injuries and opinions regarding the nature, extent, causation, etiology and development of my injuries for the purpose of adjudicating a Workers Compensation claim to my employer, the State of Illinois or to the Office of the Attorne.

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If you have been hurt at work, the Illinois Workers' Compensation Act requires your employer to pay for your medical treatment, lost wages, retraining if you cannot return to your former job, and compensation for a permanent disability.

Schedule Injuries Lawyers, arbitrators and judges refer to this schedule to assess the value of an injured worker's injuries. Calculations involve multiplying 60% of the employee's average weekly wage (AWW) by the weeks on the schedule for the affected body part.

Can workers' comp stop paying without notice? The workers' comp insurance company can't stop paying you unless it has a legitimate reason for ending your benefits. For example, your benefits will end if your doctor clears you to fully return to your regular work.

You may be able to request your record through your provider's patient portal. You may have to fill out a form — called a health or medical record release form, or request for access—send an email, or mail or fax a letter to your provider.

Medical Information/Private Information - Requests for medical information about a patient or for private information, you will need to have a signed authorization or release from the patient or subject of the information or their legal representative.

Illinois law requires employers to provide workers' compensation insurance for almost everyone who is hired, injured, or whose employment is localized in Illinois. Sole proprietors, business partners, corporate officers, and members of limited liability companies may exempt themselves.

Your employer cannot deny you workers' compensation benefits for choosing your own physician. In Illinois, employers cannot force injured employees to see their approved physicians. However, it is important to get a referral from your primary physician before visiting a specialist.

The Workers' Compensation Act requires that this form must be filed by an employer to the Illinois Workers' Compensation Commission whenever an injury results in an employee missing more than three days of work. Fatal accidents have to be reported within two days.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232