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Form P-142OR Orthopedic Medical Report - Connecticut
What Is Form P-142OR?
This is a legal form that was released by the Connecticut Department of Motor Vehicles - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form P-142OR?
A: Form P-142OR is an orthopedic medical report for Connecticut.
Q: Who uses Form P-142OR?
A: Orthopedic doctors and healthcare providers in Connecticut use Form P-142OR.
Q: What is the purpose of Form P-142OR?
A: Form P-142OR is used to provide detailed information about orthopedic medical conditions and treatments.
Q: Do I need to fill out Form P-142OR?
A: Only orthopedic doctors and healthcare providers need to fill out Form P-142OR.
Q: Can patients fill out Form P-142OR?
A: No, patients do not need to fill out Form P-142OR.
Q: What information is required on Form P-142OR?
A: Form P-142OR requires information such as patient details, medical history, diagnosis, treatment plans, and prognosis.
Q: Is Form P-142OR confidential?
A: Yes, Form P-142OR is confidential and protected under HIPAA.
Q: Is there a deadline for submitting Form P-142OR?
A: Yes, Form P-142OR must be submitted within 30 days from the date of the orthopedic examination.
Q: Who should I contact if I have questions about Form P-142OR?
A: You can contact the Connecticut Workers' Compensation Commission for any questions regarding Form P-142OR.
Form Details:
- Released on August 1, 2017;
- The latest edition provided by the Connecticut Department of Motor Vehicles;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form P-142OR by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.
