3160

REQUIRED CONTENTS OF MEDICAL REPORTS FROM PHYSICIANS

3160.1

The following information shall be included in a medical report from a physician that is used by the Program in connection with an ID, ED, or other Program decision affecting employee benefits:

(a) Date(s) of examination and treatment;

(b) History given by the employee;

(c) Physical findings;

(d) Results of diagnostic tests;

(e) Diagnosis;

(f) Course of treatment;

(g) Description of any other conditions found but not due to the claimed injury;

(h) Treatment given or recommended for the claimed injury;

(i) Physician's opinion, with medical reasons, as to causal relationship between the diagnosed condition(s) and the factors or conditions of the employment;

(j) Extent of disability affecting the employee's ability to work due to the injury;

(k) Prognosis for recovery; and

(l) All other material findings.

3160.2

Medical reports that fail to meet the requirements of this section may be deemed to be invalid and compensation claims based thereon may be denied.

SOURCE: Notice of Emergency and Proposed Rulemaking published at 52 DCR 5481(June 10, 2005) [Expired]; and Notice of Emergency and Proposed Rulemaking published at 52 DCR 5771(June 17, 2005) [Expired]; and Notice of Emergency and Proposed Rulemaking published at 52 DCR 8964(October 7, 2005) [Expired]; and Notice of Emergency and Proposed Rulemaking published at 53 DCR 940(February 10, 2006) [Expired];Final Rulemaking published at 53 DCR 4290 (May 26, 2006).