New York Doctors Progress Report

State:
New York
Control #:
NY-C-4.2-WC
Format:
PDF
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Description

Doctors Progress Report

New York Doctors Progress Report is a form used by doctors in the state of New York to track the progress of their patients over time. The report allows doctors to assess a patient's progress in the course of treatment and to make a determination of whether a patient's condition is improving or worsening. The report includes the doctor's name, the date of the consultation, the patient's name, the patient's diagnosis, the patient's current symptoms, and the doctor's assessment of the patient's progress. There are two types of New York Doctors Progress Report: the Comprehensive Progress Report, and the Follow-up Progress Report. The Comprehensive Progress Report is used to assess the patient's overall progress and includes information about the patient's past medical history, current medications, and any other relevant information. The Follow-up Progress Report is used to assess the progress of the patient after a period of time and includes information such as the patient's response to treatment, any changes in the patient's condition, and the doctor's assessment of the patient's progress.

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FAQ

Filing A Workers' Compensation Claim The C-4 form is titled ?Employee's Claim for Compensation/Report of Initial Treatment?. The physician fills out their part of the form, and sends a copy to your employer and the insurer. Be sure to get a copy for your records.

WCB means the Workers Compensation Board.

EMPLOYEE'S CLAIM FOR COMPENSATION/REPORT OF INITIAL TREATMENT. FORM C-4.

SI-12 (7/09) Affidavit Certifying That Compensation Has Been Secured. Employers with Board-approved self-insurance for workers' compensation. Filed with the government agency issuing a permit, license or contract. The SI-12 must be completed by the Board's Self-Insurance Office and approved by the Board's Secretary.

Form C-43: Revocation of Written Authorization.

More info

Each PPR shows whether the doctor has released the workers to return to full employment or indicated temporary work restrictions. A patient progress report is a form that helps track the progress of patients and share their information from one location to the next.To report permanent impairment, use Form C-4. 3.) Doctor's Progress Report. 4. PRIMARY TREATING PHYSICIAN'S PROGRESS REPORT (PR-2). Check the boxes which indicate why you are submitting a report at this time. Medical Record - Progress Report. Complete this form and return it to the address on the last page. We've stopped bills that would have expanded the scope of practice for non-physicians, developed resources to fight burnout, continued fighting for. RateFast ensures that you collect all the necessary information for a truly complete Doctor's First report.

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New York Doctors Progress Report