On-Line Services

• NEW: Diagnostic Testing Network Look-Up
• Web Submission of Medical Forms
  • Doctor's Initial Report
  • Doctor's Progress Report
  • Doctor's Report of MMI/Permanent Impairment
  • Occupational Therapist's/Physical Therapist's Report
    The OT/PT-4 form, is now available for on-line submission. The OT/PT-4 form must be utilized by self-employed occupational and physical therapists and by free standing occupational / physical therapy practices. This form should not be utilized for therapy services provided by a therapist who is employed by a physician practice or by a hospital.
• Doctor's Narrative Report (EC-4NARR)
• Ancillary Medical Report (EC-4 AMR)
• XML Forms Submission
• On-line Services Availability