This is one of the official workers' compensation forms for the state of California
Downey California Primary Physician's Progress Report for Workers' Compensation
State:
California
City:
Downey
Control #:
CA-PR-2-WC
Format:
Word;
PDF;
Rich Text
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Description
How to fill out California Primary Physician's Progress Report For Workers' Compensation?
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FAQ
DWC-7 Notice to Employees-Injuries Caused by Work (English and Spanish). This form provides your employees with information regarding workers' compensation benefits and the Medical Provider Network (MPN) in California.
DOCTOR'S FIRST REPORT OF OCCUPATIONAL INJURY OR ILLNESS.
Physical Injuries on the Job For example, hurting their back while lifting heavy items or falling off a ladder. Injuries caused by other people's actions. For example, being hit by machinery on a construction site.
PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT(PR-3) This form is required to be used for ratings prepared pursuant to the 1997 Permanent Disability Rating Schedule.
California Labor Code Section 5401 defines ?first aid? as ?any one-time treatment, and any follow-up visit for the purpose of observation of minor scratches, cuts, burns, splinters, and so forth, which do not ordinarily require medical care.
Every physician who treats an injured employee must file a complete Form 5021 Doctor's First Report of Occupational Illness or Injury (DFR) with the employer's claims administrator within five days of the initial examination.
WC002. Treating Physician's Progress Report (PR-2 or narrative equivalent in accordance with § 9785)
Under many conditions, California regulations require a Primary Treating Physician to issue a PR-2 report to a claims administrator. The purpose of this PR-2 is to update the claims administrator on the status of the injured employee.
How many copies of the first report of injury form are completed? Within 5 days of your initial examination, for every occupational injury or illness, send two copies of this report to the employer's workers' compensation insurance carrier or the insured employer.
PRIMARY TREATING PHYSICIAN'S PROGRESS REPORT (PR-2)