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CA-1, the employee should detach Form CA-20 and complete items 1-3 on the front. Physician's Report 2020.Items 1 - 10 — Follow the instructions below to complete Physician report form online quickly and easily: Log in to your account. (CHILD'S PRE-ADMISSION HEALTH EVALUATION). Instructions for Completing the. Physician's Report of Work Ability. Your doctor must fill out this form at regular intervals — usually every 4-6 weeks — during your convalescence. DEAR DOCTOR: The purpose of this form is for us to document functional capacity. Img AcAdemY PhYsiciAN's rePort must be comPleted bY PhYsiciAN iN eNglish. Children with Developmental Disabilities.