Kentucky Medical Report — Occupational Disease is a form completed by medical providers in order to report occupational disease cases to the Kentucky Department of Workers’ Claims. It is used to report cases of occupational disease and/or death that occurred in Kentucky. The report has two parts: Part A is for reporting to the Kentucky Department of Workers’ Claims and Part B is for reporting to the Kentucky Department of Public Health. Part A includes information about the employee, the condition that caused the occupational disease, and the employer. Part B includes information about the diagnosis and treatment of the occupational disease. There are three different types of Kentucky Medical Report — Occupational Disease: Part A only, Part B only, and Part A and Part B.
Kentucky Medical Report - Occupational Disease
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