Physician's return to work and voucher report 2025

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307 votes

The document is a Physician's Return-to-Work & Voucher Report for employees with permanent partial disability due to injuries occurring on or after January 1, 2013. It outlines the employee's work capacities and activity restrictions, which are essential for determining their ability to return to regular, modified, or alternative work. The form must be completed by the primary treating physician when the employee's condition has reached maximum medical improvement and is mandatory for claims processing.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (307 Votes)

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