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- Click 'Get Form' to open the MEDCO-14 in the editor.
- 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.
- Complete the Employment/Occupation section by indicating if you have reviewed the injured worker's job description. List all sources that provided this information.
- 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.
- 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.
- Finally, sign and date the form in the Treating Physician’s Signature section, certifying that all information is correct.
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