Available for RateFast

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Administrative Rule Set

Here is a link to AMA Guides 5th Edition

Doctor’s First Report

When a California workers’ compensation physician sees a patient for the first time, they must complete DSLR 5021 form, or a “Doctor’s First Report of Occupational Injury or Illness.

Here is a link to the Doctor’s First Report (DSLR 5021) form.

Physician’s Progress Report (PR-2)

For follow-up visits with the injured worker, the physician must complete a PR-2 report for the visit. Alternatively, “the primary treating physician may substitute or append a narrative report to accompany or replace the form to report adequately on the topics contained in the form.”

Click here to view the Primary Treating Physician’s Progress Report (PR-2).

Impairment Report

When an injured body part has reached Maximum Medical Improvement (MMI), the physician must complete a Primary Treating Physician’s Permanent and Stationary Report (PR-4).

This report must includes an impairment rating that is calculated in accordance with the AMA Guides, and is the most difficult report for the physician to correctly complete.

Employer’s First Report Of Injury

After a work-related injury is reported, the employer must file an Employer’s Report Of
Occupational Injury Or Illness (form 5020).