Form 25RRating at End of Healing Period
Issued by North Carolina Industrial Commission
Rating at End of Healing Period (Form 25R) — 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
- End of healing period / maximum medical improvement (Form 25R); ongoing treatment status via Medical Status Questionnaire provided by insurer/employer to treating physician; significant change in work capacity (NCGS §97-25.6).
- Who fills it out
- Treating physician of record. North Carolina allows NPs and PAs to treat workers' compensation patients within their scope of practice. The treating physician (MD/DO) is typically responsible for maximum medical improvement ratings on Form 25R.
- Who signs
- North Carolina allows NPs and PAs to treat workers' compensation patients within their scope of practice. The treating physician (MD/DO) is typically responsible for maximum medical improvement ratings on Form 25R.
- Where it goes
- Form 25R: submitted when employee reaches end of healing period / MMI. Medical Status Questionnaire responses: as requested by insurer/employer. No fixed periodic physician reporting interval specified by statute.
- Electronic submission
- Supported — NC Industrial Commission provides electronic filing through EDFP (Electronic Document Filing Portal). Forms can be submitted electronically through the IC portal.
- Narrative substitution
- Form 25R is mandatory for rating at end of healing period. Medical status communications may use the approved Medical Status Questionnaire format or narrative reports as requested.
Form preview
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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
NC Industrial Commission
Statute
NCGS §97 (WC Act)
Form library
IC Forms Page
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (NC). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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