Permanent report 2025

1. Click ‘Get Form’ to open the Permanent Report in the editor.
2. Begin by entering the patient's personal information, including their name, address, date of birth, and social security number. Ensure accuracy as this data is crucial for identification.
3. Fill in the claims administrator's details, including their name and contact information. This section helps streamline communication regarding the report.
4. Document the injury details by providing dates such as 'Date of Injury' and 'Last Date Worked'. Include a clear description of how the injury occurred.
5. In the medical history section, summarize relevant findings from your examination. Be thorough in documenting objective findings and diagnostic test results.
6. Assess subjective findings by detailing symptoms experienced by the patient. Use provided scales for frequency and severity to ensure clarity.
7. Conclude with any future medical treatment recommendations and list other physicians who contributed to this report for comprehensive documentation.

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