Physicians Report On Eye Injuries {WKC-16A}

WKC-16-A - PHYSICIAN’S REPORT ON EYE INJURIES. This form is used in Wisconsin workers’ compensation cases to provide detailed medical information regarding an employee’s eye injury and its impact on vision. This form, administered through the Department of Workforce Development’s Worker’s Compensation Division, allows the treating physician to document the history, nature, and diagnosis of the injury, including whether it caused conditions such as cataracts or other impairments. It records central visual readings, field vision tests, prior disabilities, binocular vision, and any ongoing risks of further impairment. The report also addresses whether the condition has stabilized, the employee’s ability to return to work, and any permanent disability resulting from the injury. By completing this form, physicians give the Commission the medical evidence necessary to evaluate vision loss, determine the extent of disability, and ensure proper administration of benefits under the Wisconsin Worker’s Compensation Act. www.FormsWorkflow.com