PRIMARY TREATING PHYSICIAN'S PROGRESS REPORT (PR-2). Check the boxes which indicate why you are submitting a report at this time. |
Indicate whether any prescription for medication or supplies must be dispensed as written. This information must be indicated in the Request for Authorization ... |
If the patient is “Permanent and Stationary”. (i.e., has reached maximum medical improvement), do not use this form. You may use DWC Forms PR-3 or PR-4. |
15 мая 2024 г. · The purpose of this PR-2 is to update the claims administrator on the status of the injured employee. |
9785.2. Form PR-2 "Primary Treating Physician's Progress Report." Primary Treating Physician's Progress Report (Form PR-2) |
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1. Form PR-2 “Primary Treating Physician Progress Report” -- Services On or After October 1, 2015. Currentness. |
The DWC Form PR-2, also known as the Employer's First Report of Occupational Injury or Illness, is used to report an employee's work-related injury or illness ... |
This option is used to complete the State of California Division of Worker's Compensation Primary Treating Physician's Progress Report (PR2) form. |
Executed at: Name: Address: Cal. Lic. #. Date: Specialty: Phone: Next report due no later than. DWC Form PR-2 (Rev.1/1/99). (Use additional pages, if necessary) |
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