Delaware SB1 Physician's Report of WC Injury Form 2026

1. Click ‘Get Form’ to open the Delaware SB1 Physician's Report of WC Injury Form in our editor.
2. Begin by selecting the report type at the top of the form: Initial, Progress, or Closing. This helps categorize the nature of the report.
3. Fill in the worker’s name, Social Security number, employer name, and date of birth. Ensure accuracy as this information is crucial for identification.
4. Enter the employer's phone/fax number and accident date. This section provides context for the injury.
5. Complete insurer details including name and claim number, along with your contact information as a physician.
6. In the 'Initial Visit Only' section, document the injured worker’s description of the accident/injury and provide a work-related medical diagnosis.
7. Outline a treatment plan that includes diagnostic tests, procedures, therapy, and medications tailored to the patient's needs.
8. Indicate how many hours per day the patient can work by circling one option from 0 to 8 hours.
9. Specify maximum tolerance for work postures (sitting, standing, walking, driving) by circling appropriate hours for each category.
10. Check off lift/carry classifications based on physical demands and provide comments if necessary regarding work restrictions.
11. Finally, sign and date the form at the bottom. Print your name and certification number before submitting it to ensure compliance.

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