bluehive.com/services/return-to-work-evaluation/prepare
Lista de Preparación
Marque cada elemento mientras se prepara para su cita.
Qué Llevar
5 elementosCómo Prepararse
2 elementosGeneral
1 elementoQué Esperar
Esto es lo que sucederá durante su visita.
Submit Request
Employer or employee initiates return-to-work evaluation request.
Provide Documentation
Submit treating physician's release and job description.
Complete Evaluation
Employee undergoes examination focused on job requirements.
Return to Work
Receive clearance with any necessary restrictions or accommodations.
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Formularios típicamente usados durante una visita de Return-to-Work Evaluation
BlueHive no completa los formularios — los proveedores lo hacen. Estos son los formularios oficiales que un proveedor puede usar durante esta visita, para que sepa qué esperar.
- Workers’ Comp
Physician's Report
Physician's Report — state-prescribed clinician report used by the state workers’ comp agency.
View form details - Workers’ CompICA Form 102
Worker's and Physician's Report of Injury
Worker's and Physician's Report of Injury (ICA Form 102) — state-prescribed clinician report used by the state workers’ comp agency.
View form details - Workers’ CompForm 3
Physician's Report
Physician's Report (Form 3) — state-prescribed clinician report used by the state workers’ comp agency.
View form details