The revised C-4 requires more detail than the older version. Can we simply attach office notes or a narrative, in lieu of completing the entire C-4?
On Sept. 16, the Board released four new and revised forms. Doctor’s Initial Report, C-4.0 (revised) Doctor’s Progress Report, C-4.2 (new) Doctor’s Report of MMI/Permanent Impairment, C-4.3 (new) Attending Doctor’s Request for Authorization and Carrier’s Response, C-4 AUTH (new) These are all available for use now. Providers must use them for dates of service on, or after, April 1, 2009. Originally, medical providers were required to utilize the new C-4 forms by January 1, 2009, however the Board has announced a three month extension to the original transition period after receiving numerous requests from medical providers to delay the mandatory use of the new forms. Please answer all questions on the forms. If you wish to submit a narrative report, you can use the new EC-4 NARR form. Every medical report, including the EC-4NARR, filed through the WCB web site is electronically signed by a Board authorized health care provider in compliance with the New York State Electronic Signatures
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