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How to use or fill out apf form with our platform
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Click ‘Get Form’ to open the apf form in the editor.
Begin by entering the worker’s name, visit date, and claim number in the designated fields at the top of the form.
Fill in the healthcare provider’s name and date of injury. Ensure accuracy as this information is crucial for processing claims.
Indicate whether the worker is released to their job without restrictions by filling in the appropriate date. If modified duty is applicable, check the relevant box and provide dates.
Complete the 'Capacity' section by estimating what tasks the worker can perform. Use the provided scale to indicate frequency and duration for each activity listed.
In the 'Plans' section, document any additional instructions or restrictions. Make sure to sign and date where required before submitting.
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