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Texas Department of Insurance, Division of Workers\' Compensation (DWC)
Designated Doctor Narrative Report and Form Requirements
SubjectMultiple certifications of
maximum medical
improvement (MMI)
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How to fill out designated doctor narrative report
How to fill out designated doctor narrative report
01
Review the injured worker's medical records and case history
02
Document the injured worker's medical condition thoroughly
03
Provide a clear and concise narrative report summarizing the injured worker's condition and treatment
04
Include any relevant diagnostic test results and treatment recommendations
05
Submit the completed narrative report to the appropriate parties
Who needs designated doctor narrative report?
01
Designated doctors
02
Injured workers seeking workers' compensation benefits
03
Insurance companies
04
Attorneys representing injured workers or insurance companies
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What is designated doctor narrative report?
A designated doctor narrative report is a detailed document prepared by a designated doctor that provides comprehensive information regarding a patient's medical condition, treatment, and prognosis for use in workers' compensation cases.
Who is required to file designated doctor narrative report?
The designated doctor who conducts the evaluation of the injured worker is required to file the narrative report.
How to fill out designated doctor narrative report?
To fill out a designated doctor narrative report, the doctor must gather all relevant medical information, complete the required sections of the report form, provide a thorough analysis of the patient's condition, and ensure that it aligns with legal requirements.
What is the purpose of designated doctor narrative report?
The purpose of the designated doctor narrative report is to provide an objective assessment of an injured worker's medical status, which aids in determining the extent of disability and the appropriate compensation benefits.
What information must be reported on designated doctor narrative report?
The report must include the patient's medical history, current diagnosis, treatment details, functional capacity evaluation, and recommendations for further treatment or rehabilitation.
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