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Yes. A nurse practitioner or physician assistant can certify for all medical conditions within their scope of practice. To report permanent impairment, use Form C-4.3.) Doctor's Progress Report. 4. The certification interval is not the same as a Progress. File a statement from a licensed medical doctor. Who will ask the physician to complete this form? If you receive a request for continued medical certification (Form P30), you must have your physician complete and sign the form. You should return it promptly. Complete Side A and refer the form to the physician to complete Side B. Fill in the address of the Employing Agency and the appropriate OWCP. Nurse practitioner or physician assistant.