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STATE OF NEW YORK WORKERS COMPENSATION BOARD ATTENDING DOCTOR IS REPORT AND CARRIER/EMPLOYER BILLING FORM 48 HR. 15 DAY 45 DAY INITIAL PROGRESS WEB CASE NO. INJURED PERSON SEE ITEM 1 ON REVERSE FOR

How to fill out attending doctor s report

How to fill out attending doctor's report:

1. Fill in the patient's personal information: Include the patient's full name, date of birth, address, and contact details. Make sure to verify the accuracy of the information before proceeding.
2. Record the details of the medical evaluation: Document the date of the examination or treatment, along with any relevant medical history. Include any tests conducted, diagnoses made, and treatment plans recommended.
3. Provide a thorough description of the patient's condition: Include a detailed account of the patient's symptoms, limitations, and level of disability, if applicable. Use clear and concise language, avoiding any medical jargon that may be difficult to understand.
4. Complete the section on work status: Indicate whether the patient is capable of working, and if so, specify any necessary modifications or restrictions. Mention any occupational factors that may be impacting the patient's health.
5. Describe the treatment plan and progress: Outline the medical treatment administered to the patient, including medications, therapy, or surgeries. Also, specify the progress made by the patient in response to the treatment, noting any improvements or setbacks.
6. Sign and date the report: As the attending doctor, ensure that you have clearly signed and dated the report. This will validate the information provided and confirm that it is an accurate representation of the patient's condition.

Who needs an attending doctor's report?

1. Insurance companies: Attending doctor's reports are often required by insurance companies when a patient is making a claim for medical benefits, disability benefits, or workers' compensation.
2. Employers: In cases of work-related injuries or illnesses, employers may request an attending doctor's report to assess the employee's fitness for work and determine any necessary accommodations or restrictions.
3. Legal entities: Attending doctor's reports can be crucial in legal matters such as personal injury claims or disability disputes. Lawyers may request these reports to gather evidence or support their client's case.

In conclusion, filling out an attending doctor's report involves providing accurate personal and medical information, documenting the patient's condition and treatment plan, and signing the report. These reports are often needed by insurance companies, employers, and legal entities in various situations.

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What is attending doctor's report?

Attending doctor's report is a medical document filled out by the physician who is treating the injured or ill worker. It provides details about the worker's condition, treatment plan, and work restrictions.

Who is required to file attending doctor's report?

The attending doctor is required to file the attending doctor's report.

How to fill out attending doctor's report?

The attending doctor should provide detailed information about the worker's condition, treatment plan, and work restrictions in the report.

What is the purpose of attending doctor's report?

The purpose of attending doctor's report is to update the employer and insurance company about the injured or ill worker's condition, treatment plan, and work restrictions.

What information must be reported on attending doctor's report?

The attending doctor must report details about the worker's condition, treatment plan, and work restrictions.

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