DWC Form-032, Request for Designated Doctor Examination 2025

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The document is a Report of Medical Evaluation (DWC Form-069) used by the Texas Department of Insurance, Division of Workers Compensation. It outlines the process for certifying an injured employees Maximum Medical Improvement (MMI) and any permanent impairment resulting from a work-related injury.
A designated doctor (DD) is a doctor or health care provider selected and trained by DWC to resolve questions about an injured employees medical condition; or a dispute about a work-related injury or illness. The injured employee, the employees representative, or insurance carrier, or DWC can request a DD exam.
Texas Health Care Network Information The Travelers custom certified workers compensation Health Care Network (HCN) is a network of quality medical professionals, certified by the Texas Department of Insurance, who specialize in treating work-related injuries.
At the request of the insurance carrier, an injured employee, the injured employees representative, or on its own motion, the division may order a medical examination by a designated doctor to resolve questions about: (1) the impairment caused by the injured employees compensable injury; (2) the attainment of maximum
Form DWC 1 is the official form that California businesses and employees use to file a workers compensation claim. The employee fills out a portion of the form, and the employer fills out the remainder. The employer then sends the completed form to their workers comp insurance company in order to file a claim.
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Never lie about prior injuries, pre-existing conditions, or medical history. Never lie about the extent of your workplace injury or how it happened. Do not exaggerate your symptoms, including pain or functionality.

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