
Last updated: 5/15/2025
Workers And Physicians Report For Workers Compensation Claims {827}
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Description
827 - WORKER’S AND HEALTH CARE PROVIDER’S REPORT FOR WORKERS’ COMPENSATION CLAIMS. This form is used within Oregon’s Workers’ Compensation system to document and process claims related to workplace injuries or illnesses. It serves as a formal report completed by the injured worker for specific purposes, including the first report of injury or disease, requests to accept new or previously omitted medical conditions, reports of aggravation of an original injury, or notice of a change in the attending physician or nurse practitioner responsible for treatment. The form must be completed by the worker only in these cases; it is not used by the worker for progress reports, closing reports, or palliative care requests, which are instead submitted by the provider. By signing this form, the worker authorizes the release of relevant medical records to insurers and other authorized entities involved in claim management. Health care providers use this form to communicate essential medical information about the worker’s injury or illness, treatment plans, and work restrictions to the insurer, facilitating timely processing and decisions about benefits and medical care. The form also informs the worker about their rights, the claim acceptance or denial process, medical care limits, and payments for lost wages due to work-related injuries. It outlines requirements for palliative care and cautions against submitting false information. www.FormsWorkflow.com