Medical Status Form
Issued by Montana Department of Labor & Industry – Employment Relations Division
Medical Status Form — 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
- After every office visit
- Who fills it out
- Treating physician of record. Treating physician or designee completes each visit
- Who signs
- Treating physician or designee completes each visit
- Where it goes
- Every office visit
- Electronic submission
- Status unspecified
- Narrative substitution
- Insurer may request additional information beyond the form
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
Montana Dept of Labor & Industry
VerifiedOpenStatute
MCA §39-71 (WC Act)
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (MT). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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Important Legal Notice
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
- Verify information with official government sources
- Review the full text of any regulation cited herein
- Consider jurisdiction-specific requirements that may apply to your organization
BlueHive Health, LLC makes no warranties or representations about the accuracy, completeness, or timeliness of this information. We are not responsible for any actions taken or not taken based on this content.
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