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Workers Request to Change Attending Physician or Authorized Nurse Practitioner - Oregon

Workers Request to Change Attending Physician or Authorized Nurse Practitioner - Oregon 2026

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The document outlines the process for workers to request a change of their attending physician or authorized nurse practitioner for on-the-job injuries. It specifies that workers can change their provider twice without insurer approval and provides details on eligible healthcare providers, their treatment duration limits, and contact information for further inquiries. A form is included for submitting requests.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Worker Information section. Enter your name, phone number, address, date of injury, insurer details, and claim number.
In the Provider Information section, indicate whether you currently have an attending physician or nurse practitioner by selecting 'Yes' or 'No'. If 'Yes', provide their name, phone number, and address.
Explain why you wish to change providers in the designated field. You may attach additional sheets if necessary for more detailed explanations.
Specify the name and contact information of the new attending physician or nurse practitioner you wish to select.
List any other providers who have treated or evaluated you for this workers’ compensation claim. Again, feel free to attach additional sheets if needed.
Finally, sign and date the form before submitting it to the Workers’ Compensation Division at the provided address.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the 90 day rule for workers comp in Oregon?

According to Oregon workers comp rules, employees have up to ninety days after an accident to report an injury. The employer then has five days to file a claim with their insurance company. If approved, the worker gets financial support based on their weekly earnings.

Who is subject to the Oregon workers Benefit Fund?

Every employee is subject to the WBF assessment. The law defines the following as employees: All paid workers for whom the employer is required by Oregon law to provide workers compensation insurance coverage; and.

Can a nurse practitioner be an attending physician?

The attending physician is a doctor of medicine or osteopathy, a nurse practitioner, or a physician assistant and is identified by the individual, at the time he or she elects to receive hospice care, as having the most docHub role in the determination and delivery of the individuals medical care.

What is form 827 in Oregon?

All medical service providers must give a copy of Form 3283 and Form 827 to the patient. (2) New or Omitted Medical Condition. A patient may use Form 827 to request that the insurer formally accept a new or omitted medical condition.

What not to say to Workmans Comp?

What Not to Say to a Workers Comp Doctor Avoid Downplaying Your Injury: Dont minimize your pain or discomfort. Dont Speculate on Recovery Time: Do not make guesses about how quickly you will recover. Stay Away from Absolute Statements: Do not use words like always or never when describing your symptoms.

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What is a 827 form in Oregon?

 Complete Form 801, Report of Job Injury or Illness, available from your employer and Form 827, Workers and Health Care Providers Report for Workers Compensation Claims, available from your health care provider. How do I get medical treatment?

What can a nurse practitioner do in Oregon?

Order and Interpret Diagnostic Tests: Order laboratory tests, X-rays, and other diagnostic studies. Initiate and Manage Treatments: Develop and implement treatment plans, including prescribing medications (including controlled substances with a DEA registration), ordering therapies, and providing patient education.

Workers Request to Change Attending Physician or Authorized Nurse Practitioner - Oregon 2026

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