Medco 14 2026

1. Click 'Get Form' to open the MEDCO-14 in the editor.
2. In the MEDCO-14 submission section, select one of the three options regarding your previous submissions. If there are updates, ensure you check 'Yes' in the appropriate section.
3. Complete the Employment/Occupation section by indicating if you have reviewed the injured worker's job description. List all sources that provided this information.
4. In the Work Status/Injured Worker’s Capabilities section, accurately detail any physical or health restrictions. Specify if they are permanent or temporary and indicate if the worker can return to full duties.
5. Fill out sections 4A and 4B with relevant disability period information and clinical findings, ensuring to provide a narrative description of diagnoses and any other conditions impacting treatment.
6. Finally, sign and date the form in the Treating Physician’s Signature section, certifying that all information is correct.

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