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Memo To: Workers Compensation System Participants From: David G. Davis, M.D., Medical Advisor Date April 23, 2015, RE: DWC Finalized Functional Capacity Evaluation (FCE) Plan-Based Audit Comments:
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The DWC functional is a form used to report the functional capabilities of an injured worker.
Employers or insurance carriers are required to file the DWC functional.
The DWC functional form can be filled out by healthcare providers based on their assessment of the injured worker's functional abilities.
The purpose of the DWC functional form is to evaluate and document the injured worker's functional capabilities in relation to their job duties.
Information such as the injured worker's medical history, current functional abilities, and restrictions must be reported on the DWC functional form.
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