New Hampshire NH Workers' Compensation Medical Forms

State:
New Hampshire
Control #:
NH-SKU-1171
Format:
PDF
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Description

NH Workers' Compensation Medical Forms New Hampshire NH Workers' Compensation Medical Forms are documents used to report an injury to an employee in the workplace in the state of New Hampshire. They provide details about the incident, the nature and extent of the injury, the treatment received, and the prognosis for the employee's recovery. The forms must be completed by a physician or other healthcare provider and submitted to the New Hampshire Department of Labor. There are three types of New Hampshire NH Workers' Compensation Medical Forms: the Employer's First Report of Injury, the Physician's Report of Injury, and the Physician's Supplementary Report of Injury. The Employer's First Report of Injury is used by the employer to report the injury, the date of injury, and the employee's name, address, and occupation. The Physician's Report of Injury is used by the physician to report the diagnosis of the injury, the treatment recommended, and the prognosis for the employee's recovery. The Physician's Supplementary Report of Injury is used by the physician to provide an update on the employee's recovery and any changes in the prognosis.

New Hampshire NH Workers' Compensation Medical Forms are documents used to report an injury to an employee in the workplace in the state of New Hampshire. They provide details about the incident, the nature and extent of the injury, the treatment received, and the prognosis for the employee's recovery. The forms must be completed by a physician or other healthcare provider and submitted to the New Hampshire Department of Labor. There are three types of New Hampshire NH Workers' Compensation Medical Forms: the Employer's First Report of Injury, the Physician's Report of Injury, and the Physician's Supplementary Report of Injury. The Employer's First Report of Injury is used by the employer to report the injury, the date of injury, and the employee's name, address, and occupation. The Physician's Report of Injury is used by the physician to report the diagnosis of the injury, the treatment recommended, and the prognosis for the employee's recovery. The Physician's Supplementary Report of Injury is used by the physician to provide an update on the employee's recovery and any changes in the prognosis.

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New Hampshire NH Workers' Compensation Medical Forms