This is a legal form that was released by the New York State Workers' Compensation Board - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form MD-1?
A: Form MD-1 is Attending Doctor's Request for Medical Authorization Determination.
Q: Who can use Form MD-1?
A: Form MD-1 can be used by attending doctors in New York.
Q: What is the purpose of Form MD-1?
A: The purpose of Form MD-1 is to request medical authorization determination.
Q: What information is required on Form MD-1?
A: Form MD-1 requires information such as patient's details, medical conditions, and treatment plans.
Q: Is there a fee to submit Form MD-1?
A: There is no fee to submit Form MD-1.
Q: What should I do after completing Form MD-1?
A: After completing Form MD-1, you should submit it to the appropriate address mentioned on the form.
Q: How long does it take to receive a medical authorization determination?
A: The timing for medical authorization determination varies, but you will be notified of the decision in a timely manner.
Form Details:
Download a fillable version of Form MD-1 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.