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Workers' Compensation Board

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Doctor's Narrative Report (EC-4NARR)
Web Submission Process


The health care provider must be authorized by the NYS Workers' Compensation Board. If you are not an authorized health care provider and would like to become one, complete and submit Health Providers Application for Authorization Under the Workers' Compensation Law MR/IME-1 adobe pdf

If the health care provider does not already have a user ID and password to submit claim forms from the Board's web site, they must register and a user ID and password will be assigned to them. Registrations are processed in the order in which they are received and may take up to a week.

Medical narratives must be attached. Please read "Attachment Requirements".

Adobe Reader® 9 is recommended to support the additional functionality in this form. The latest version of Adobe Reader® is available as a free download from Adobe's web site.

Form Submission Tutorial

Sample EC-4NARR adobe pdf

To report permanent impairment, submit form Doctor's Report of MMI/Permanent Impairment (C-4.3).

To request authorization for special services costing over $1000.00, submit form Attending Doctor's Request for Authorization and Carrier's Response (C-4AUTH) adobe pdf.

Access EC-4NARR