Rehabilitation workers 2026

1. Click ‘Get Form’ to open the Individualized Rehabilitation Plan in the editor.
2. Begin by filling out the Identifying Information section. Enter the Employee Name, Social Security Number, Date of Birth, Date of Injury, Occupation, and indicate if it’s a Catastrophic Injury.
3. In Section II, select the appropriate type of plan and vocational services. Check all relevant boxes for documentation submitted for plan approval.
4. Provide a statement explaining why rehabilitation services are needed. This should be tailored to the individual case.
5. Complete Section III if applicable, detailing medical care coordination and any state-specific problems or goals.
6. In Section IV, fill out work and wage information including average weekly wage at the time of injury and anticipated wages.
7. Finalize by completing Sections V and VI regarding services required to meet goals and certifying service discussions with all parties involved.

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