CA-20 - Attending Physician s Report 2026

1. Click ‘Get Form’ to open the CA-20 in our platform's editor.
2. Begin by entering the patient's full name in Box 1. This is essential for identifying the individual associated with the report.
3. In Box 2, input the OWCP File Number if available; otherwise, leave it blank.
4. For Box 3, record the date of initial treatment for the work-related injury.
5. In Box 4, enter the date of this examination to provide context for your findings.
6. Detail how the injury occurred in Box 5. Be specific to ensure clarity regarding causation.
7. In Box 6, document objective findings from your physical examination and any diagnostic tests performed.
8. Provide medical diagnoses in Box 7, ensuring that you do not list 'pain' as a standalone diagnosis.
9. Complete Box 9 by explaining whether employment activities contributed to the diagnosed conditions.
10. Indicate current disability status in Box 10 and provide relevant dates as necessary.
11. If applicable, describe physical limitations and potential work capabilities in Box 11.
12. Add any additional remarks in Box 12 before signing and dating the form in Box 13.

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