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Psychiatric or Psychological Report Certification of Confidentiality - West Virginia

Psychiatric or Psychological Report Certification of Confidentiality - West Virginia 2025

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The document is a certification form from the West Virginia Workers' Compensation Office of Judges regarding the confidentiality of psychiatric or psychological reports. It states that a report has been withheld from the claimant due to potential harm from its contents, as per W.Va. Code §23-1-13(f). A summary of the report is available upon request. The form includes sections for claimant information, report details, and compliance certification.

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