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Workers' Compensation Board

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Ancillary Medical Report (EC-4 AMR)
Web Submission Process Tutorial

Submitting an EC-4 AMR Form For a Patient

Adding Attachments

Attachment File Types Accepted:

  • Text files (.txt file extension)
  • MS Word files (.doc file extension)
  • Rich Text files (.rtf file extension)
  • Tiff files preferably with a resolution of 200 dpi (.tif or .tiff file extension)
  • JPEG files (.jpg file extension)
  • GIF files (.gif file extension)
  • BMP files (.bmp file extension)
  • PDF files (.pdf file extension)

Select the paper clip icon or the attachment tab on the left of side of the page.
Save file with patient and submit date in file name

Select the Add icon.
Save file with patient and submit date in file name

Select the file that should accompany this form and then select the "Open" button. The file(s) should appear in the attachment box below the form.
Find file to attach to form

Example of Attachment
Example of attached file

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Filling out the Form | Add Billing Information | Who Provided Services | Saving Patient Data | Adding Attachments | Submitting the Form | Successful Submissions | Saving the PDF | Printing the PDF | Submitting Additional Forms