WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner - Maryland

WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner - Maryland

What Is WCC Form VR06?

This is a legal form that was released by the Maryland Workers' Compensation Commission - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner?
A: The WCC Form VR06 is an agreement used in Maryland to ensure proper selection of medical services and practitioner for workers' compensation cases.

Q: Why is the WCC Form VR06 used?
A: The form is used to establish the propriety of medical services and to document the selection of a practitioner for a workers' compensation case in Maryland.

Q: Who uses the WCC Form VR06?
A: The form is used by employers, insurers, and self-insured employers in Maryland for workers' compensation cases.

Q: Are there any specific requirements for completing the WCC Form VR06?
A: Yes, the form must include the injured employee's consent, the practitioner's agreement to follow the WCC fee schedule, and the employer's agreement to pay for the services.

Q: What happens after the WCC Form VR06 is completed?
A: Once the form is completed, it should be submitted to the WCC for review and approval.

Q: Is the WCC Form VR06 mandatory for workers' compensation cases in Maryland?
A: Yes, the form is mandatory and must be completed in accordance with the Maryland Workers' Compensation Act.

Q: Can the selection of a practitioner be changed after submitting the WCC Form VR06?
A: Yes, the selection can be changed if there is good cause, but the change must be documented and submitted to the WCC for approval.

Q: What should I do if I have questions or need assistance with the WCC Form VR06?
A: You should contact the Maryland Workers' Compensation Commission for assistance or consult with a workers' compensation attorney.

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Form Details:

  • Released on April 1, 2014;
  • The latest edition provided by the Maryland Workers' Compensation Commission;
  • 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 WCC Form VR06 by clicking the link below or browse more documents and templates provided by the Maryland Workers' Compensation Commission.

Download WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner - Maryland

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