Medco 14 form 2026

See details

4.6 out of 5

41 votes

The document is a Physician's Report of Work Ability, which provides detailed information about an injured worker's progress, work status, capabilities, and medical treatment. It includes sections for the physician to report on the worker's recovery, ability to perform job duties, any restrictions, and recommendations for vocational rehabilitation. The form must be completed by the treating physician during each visit unless certain conditions apply, and it serves as a basis for compensation claims.

Here's how it works

01. Edit your medco 14 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send medco 14 form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out medco 14 form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the MEDCO-14 form in the editor.
Begin by entering the injured worker's name, claim number, date of injury, employer name, and position at the time of injury in the designated fields.
In the 'Injured Worker Progress' section, select how the worker is progressing by checking one of the options provided.
For 'Work Status', indicate whether you reviewed a job description. Select one of the three options regarding work release status and fill in any applicable dates.
Complete the 'Injured Worker’s Capabilities' section by detailing hours able to work and capabilities for upper and lower extremities.
Fill out medication safety information and provide details on lifting/carrying activities as required.
Finally, ensure all sections are completed accurately before signing and dating the form at the end.

Start using our platform today to streamline your MEDCO-14 form completion for free!