WC 164Physician's Report of Workers' Compensation Injury
Issued by Colorado Division of Workers' Compensation
Physician's Report of Workers' Compensation Injury (WC 164) — state-prescribed clinician report used by the state workers’ comp agency.
Key facts
Clinicians fill out · Submitted to regulator · Employers file
- When it’s used
- Opening of care, closing of care, and when work restrictions change
- Who fills it out
- Treating physician of record. Must be signed by the authorized treating physician even if completed by a mid-level provider/designee
- Who signs
- Must be signed by the authorized treating physician even if completed by a mid-level provider/designee
- Where it goes
- At opening, closing, and change in restrictions
- Electronic submission
- Status unspecified
Sources & citations
Every form we publish traces to an authoritative government source. We cite the issuing agency, the underlying statute, and the operative regulation so you can verify scope and signing authority for your own records.
Issuing agency
Colorado Division of Workers' Comp
VerifiedOpenStatute
CRS §8-43 (Workers' Comp)
Regulation
DOWC Rules 16-17
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (CO). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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The regulatory information presented on BlueHive Compliance Watch is provided for general informational purposes only and should not be construed as legal advice. While we strive to maintain accurate and up-to-date information, regulations can change rapidly and may be subject to interpretation.
You should always:
- Consult with qualified legal counsel before making compliance decisions
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- Review the full text of any regulation cited herein
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