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Medical Reports

In order to better serve our stakeholders, we have begun the process of converting our forms to PDF editable. PDF editable allows you to complete the form online, and then print, sign, and submit the form to us. You still have the option to print the form and complete it by hand. Please read each form carefully to ensure you complete the form in its entirety. Please contact us at 1-800-661-0792 if you need assistance, or for more information.

We will add PDF editable forms to the website as they become available.

When treating an injured worker, you need to submit all relevant medical information. This makes sure that we care for workers in accordance with the Workers’ Compensation Act.

The treating health care provider plays a critical role in the caring for injured workers by identifying medical problem(s), and presenting an accurate diagnosis and effective treatment plan for the worker’s recovery. Communication between the health care provider(s), WSCC staff, the employer, and the worker is critical. It ensures quick and efficient processing of claims and supports a successful return to work outcome.

The WSCC forwards copies of medical documents, such as medical investigative reports and treatment and medical consultation reports, to the attending physician(s). Health care providers mainly convey information to the WSCC through Medical report forms, which include:

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You cannot save completed versions of a form on your computer with Acrobat Reader. To save completed forms, use CutePDF (free download) , or print an extra copy, for your records.