WebState of California, Division of Workers' Compensation REQUEST FOR AUTHORIZATION DWC Form RFA Attach the Doctor's First Report of Occupational Injury or Illness, Form DLSR 5021, a Treating Physician's Progress Report, DWC Form PR-2, or equivalent narrative report substantiating the requested treatment. ... DWC Form RFA … WebOverview: The Request for Authorization for Medical Treatment (DWC Form RFA) is required for the employee’s treating physician to initiate the utilization review process …

Request For Authorization For Medical Treatment (DWC …

WebDWC Forms Forms Forms are grouped by relevant subject, then in alphabetical order. Use the arrows to change to reverse alphabetical order or search by form number. The ten … WebFeb 12, 2014 · Approved by OAL & Filed w Sec of State - effective 2/12/14. 2/12/2014. DIR Newsline 2014-09. DWC Form IMR. DWC Form RFA. Final statement of reasons. Final statement of reasons addendum. Notice of approval of Certificate of … biola michael longinow

DWC Form RFA Employee Information - Kura MD, Inc.

WebDWC Form RFA, or a request for authorization accepted as complete under section 9792.9.1(c)(2), is first received by the claims administrator, or in the case of prior … WebDWC Form RFA (version 01/2014) Page 1 State of California, Division of Workers Compensation REQUEST FOR AUTHORIZATION DWC Form RFA Attach the Doctor s First Report of Occupational Injury or Illness, Form DLSR 5021, a Treating Physician s Progress Report, DWC Form PR-2, or equivalent narrative report substantiating the … WebNote: It is advised that the claims administrator review and familiarize themselves with the timeframes set forth in Labor Code section 4610 and California Code of Regulations, title 8, sections 9792.9 and 9792.9.1 upon receipt of a completed Form RFA. § 9785.5. Request for Authorization. 1 DWC Form RFA (Version 12/2012) biola masters of philosophy