Under what circumstances am I required to file DWC Form-073? Filing requirements for DWC Form-073 vary depending on the type of doctor filing the Work Status Report. The specific requirements are shown in the chart below.

A treating or referral doctor, including their delegated physician assistant or advanced practice registered nurse, must complete the DWC Form-073: • after the initial examination of the injured employee, regardless of the employee’s work status;

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DWC FORM - 73 WORK STATUS REPORT INSTRUCTIONS PART I: GENERAL INFORMATION - Contains space to record general information about the employee and the doctor/clinic. This section includes space to record a high-level generic description of the injury or condition (e.g. broken right arm, strained left knee, etc) and how it occurred.

2015年7月21日 · What is the purpose of the DWC Form 73? The Work Status Report is a communication tool used to inform the insurance carrier, employer, and injured employee of the injured employee’s ability to work. When is the DWC Form 73 required? Submitted by the treating doctor and referral doctor •At the request of the insurance carrier:

Under what circumstances am I required to file the DWC Form-073? Filing requirements for DWC Form-073 vary depending on the type of doctor filing the Work Status Report. The specific requirements are shown in the chart below.

The Texas Department of Insurance, Division of Workers' Compensation created DWC Form-73 to help health care providers communicate injured workers' restrictions and physical abilities to employers and insurance carriers. This helps ensure that …

Get links to the latest and most helpful Texas Department of Insurance forms and resources for your workers’ compensation claims. Current Fund members with Workers' Compensation coverage can streamline their work by filing these prefilled forms in our online claim system. Find these employer forms and notices on the TDI website.