This is one of the official workers' compensation forms for the state of California
California Primary Physician's Permanent Report for Workers' Compensation
State:
California
Control #:
CA-PR-3-WC
Format:
Word;
PDF;
Rich Text
Instant download
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FAQ
These work restrictions are put in place to prevent you from reinjuring yourself or making your condition worse. They detail how much you can lift, your range of motion, and overall physical ability so that you do not perform work that is too strenuous on your body.
The QME will evaluate you and issue an expert opinion either agreeing or disagreeing with your treating physician and resolving any other outstanding dispute over medical issues relating to your workers' compensation claim.
A. The QME should issue the supplemental report within 60 days.
The law defines a disability as an impairment that substantially limits one or more major life activities. Based on 2008 updates to the law, many conditions that result in permanent restrictions will be a disability.
If your workers' compensation adjuster disagrees with the doctor's report on your permanent disability, he or she may request that you be examined by a qualified medical examiner (QME). However, you should be aware that the adjuster may try to manipulate this process to deny you the benefits you deserve.
What Happens After the QME Writes a Report? The QME report is then used to determine a permanent disability rating.If the rating determines that you have ratable permanent disability, then you should receive permanent disability award and permanent disability benefits.
After reaching MMI, you will be entitled to additional medical treatment that is related to the injury for a limited time, generally 5 years after the date you were injured. This treatment is geared towards maintaining MMI and helping you to continue working, as opposed to improving your condition.
PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT (PR-4) This form is required to be used for ratings prepared pursuant to the 2005 Permanent Disability Rating Schedule and the AMA Guides to the Evaluation of Permanent Impairment (5th Ed.).
A. The QME should issue the supplemental report within 60 days.