Nevada
Workers Comp
Last updated: 10/9/2024
Physician And Chiropractor Progress Report Certification Of Disability {D-39}
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Description
D-39 - PHYSICIAN’S AND CHIROPRACTIC PHYSICIAN'S PROGRESS REPORT CERTIFICATION OF DISABILITY. This form is used in workers' compensation cases to document a patient's medical condition and progress after a work-related injury. The form includes the patient's diagnosis, whether the condition is related to an industrial injury, objective medical findings, treatment plans, and any changes in therapy or medication. It also addresses the patient's work status, such as whether they are released to full duty, temporarily totally disabled, or need restricted or modified duty. www.FormsWorkflow.com
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