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TITLE 28INSURANCE
PART 2TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
CHAPTER 42MEDICAL BENEFITS
SUBCHAPTER AGENERAL MEDICAL PROVISIONS
RULE §42.35Required Reports: First Report

(a) The treating doctor shall make an initial report, and submit it to the carrier and the injured worker, or his or her representative, as provided in §42.30 of this title (relating to Written Communications) no later than seven working days after the injured worker's first visit.

(b) The first report shall contain the following information:

  (1) all identifying information required by §42.30(d) of this title (relating to Written Communications);

  (2) complete history, as related by the claimant, of the occupational accident or illness;

  (3) complete listing of positive physical findings;

  (4) specific diagnosis with appropriate procedural and diagnostic code(s) and narrative definition(s) relating to the injury;

  (5) type of treatment rendered;

  (6) anticipated date the worker may achieve maximum medical recovery, if possible; and

  (7) anticipated date of release to return to work, if possible.


Source Note: The provisions of this §42.35 adopted to be effective October 20, 1988, 13 TexReg 4990.

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