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Workers' Compensation Division (WCD)

Department Consumer & Business Services Department Divisions Building Codes Division Finance And Corporate Securities Fiscal and Business Services Information Management Division Insurance Division Oregon Occupational Safety And Health Division Workers' Compensation Division Offices Director's Office Minority, Women & Emerging Small Business Ombudsman For Injured Workers Regulatory Streamlining Office Senior Health Insurance Benefits Assistance Small Business Ombudsman Boards Management-Labor Advisory Committee Oregon Medical Insurance Pool Board Workers' Compensation Board Home About Us Contact Us Customer Service Audits Laws & Rules Bulletins Forms Legislation Dispute Resolution Electronic Data-EDI Independent Medical Exam Ombudsmen Performance Measures Workers' Benefit Fund Jobs with WCD

the medical reviewer of the day    (503) 947-7816    Rules, Bulletins, and Forms For health care providers Questions? Ask MRT Reviewer of the day: (503) 947-7816 E-mail MRT        Rules     OAR Chapter 436, Division 009 - Medical fees and relative value schedule     OAR Chapter 436, Division 010 - Medical Services     OAR Chapter 436, Division 015 - Managed Care Organizations  Bulletins     Bulletin 112 - Reimbursement of injured workers' travel, food, and lodging costs -- Revised 9/08 associated form(s): 3921 3921s     Bulletin 220 - Medical data reporting -- Revised 8/07     Bulletin 239 - Attending physician's closing examination and report -- Revised 7/98 -- Addendum 7/00 associated form(s): 2278 2279 2312     Bulletin 247 - MCO quarterly reports -- Revised 9/08     Bulletin 248 - MCO geographical service areas -- Revised 1/07     Bulletin 251 - Change of attending physician or authorized nurse practitioner request -- Revised 1/08 associated form(s): 2332     Bulletin 281 - Form 440-2476, "Request for release of medical records for Oregon Workers' compensation claim" -- Revised 9/05 associated form(s): 2476 2476s     Bulletin 292 - Workers' compensation medical reporting forms -- Revised 12/05 associated form(s): 3245 827     Bulletin 293 - Form and format for request for administrative review of medical disputes -- Revised 3/07 associated form(s): 2842a 2842     Bulletin 307 - Spanish translation Form 827-S available -- Revised 3/06 associated form(s): 827s     Bulletin 308 - Invasive medical procedures during an independent medical examination (IME) -- Effective 1/1/06 associated form(s): 3227  Forms     Analysis of upper extremity use for office activities (3289)     Application for Independent Medical Exam Medical Service Provider Authorization (3930)     Chiropractor's Statement of Certification (3648)     Elective Surgery Notification (3228) For instruction see 309     Invasive Medical Procedure Authorization (Autorización para Procedimiento Médico Invasivo) (3227) For instruction see 308     Medical forms order form (3210)     Naturopathic Physician's Statement of Certification (3651)     Nurse Practitioner's Statement of Authorization (2882)     Physician Assistant's Statement of Certification (3650)     Podiatrist's Statement of Certification (3649)     Range of Motion and Deformity/Deviation; Amputation and Sensation of the Upper Extremity (2279) For instruction see 239     Release to Return to Work (3245) For instruction see 292     Reporte del Trabajador y Médico para Reclamaciones de Compensación para Trabajadores (827s) (827s) For instruction see 292 307     Request for Release of Medical Records for Oregon Workers' Compensation Claim (2476) For instruction see 281     Solicitud para Divulgar Expedientes Médicos para Reclamación de Compensación para Trabajadores de Oregon (Request for Release of Medical Records for Oregon Workers' Compensation Claim) (2476s) (2476s)     Spinal Range of Motion (2278) For instruction see 239     Visual Impairment (2312) For instruction see 239     Worker Requested Medical Examination Statement of Interest (3299)     Worker's and Physician's Report for Workers' Compensation Claims (827) For instruction see 292 If you have questions about the information contained in this document, please contact the medical reviewer of the day, (503) 947-7816.

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