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What is a PR 2 form?

Check the boxes which indicate why you are submitting a report at this time. If the patient is Permanent and Stationary (i.e., has docHubed maximum medical improvement), do not use this form. You may use DWC Forms PR-3 or PR-4.

What does PR-2 mean?

Check the boxes which indicate why you are submitting a report at this time. If the patient is Permanent and Stationary (i.e., has docHubed maximum medical improvement), do not use this form. You may use DWC Forms PR-3 or PR-4.

What is form 5021?

Every physician who treats an injured employee must file a complete Form 5021 Doctors First Report of Occupational Illness or Injury (DFR) with the employers claims administrator within five days of the initial examination.

What is an IMR application form?

DWC Form IMR. TO REQUEST INDEPENDENT MEDICAL REVIEW: 1. Sign and date this application and consent to obtain medical records.

What is a PR 4 form workers compensation?

A PR4 report is a final summary report that is required by the Division of California Workers Compensation when a workers injury results in residual effects from the injury or may require future medical care.