Form 827Worker's and Health Care Provider's Report (Physician's Part)
Issued by Oregon Workers' Compensation Division (WCD)
Worker's and Health Care Provider's Report (Physician's Part) (Form 827) — 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
- Initial treatment (Form 827 physician's part); ongoing treatment documentation; changes in work restrictions; closing examination for claim closure. Attending physician certifies worker's disability and work capacity (ORS 656.245).
- Who fills it out
- Treating physician of record. Oregon allows NPs (Nurse Practitioners) and PAs to serve as attending providers for workers' compensation claims under their scope of practice (ORS 656.005(12)).
- Who signs
- Oregon allows NPs (Nurse Practitioners) and PAs to serve as attending providers for workers' compensation claims under their scope of practice (ORS 656.005(12)).
- Where it goes
- Form 827: filed with insurer upon initial treatment. Chart notes documenting ongoing treatment and work status. Closing examination reports per OAR 436-010. No fixed periodic reporting form.
- Electronic submission
- Supported — Oregon WCD provides electronic filing. Insurers accept electronic medical reports. EDI for FROI/SROI.
- Narrative substitution
- Form 827 physician's part is mandatory for initial report. Ongoing reporting via chart notes and medical records that document treatment and work capacity.
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
Oregon WCD
Statute
ORS Chapter 656 (WC)
Regulation
OAR 436 (WC Rules)
Form library
WCD Form 827
Attribution. Researched and maintained in collaboration with the wc-hub workers’ compensation reporting project (OR). BlueHive does not modify the underlying government PDF; the file you download is the agency original.
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