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Form MG-2 Attending Doctor's Request for Approval of Variance and Carrier's Response - New York
What Is Form MG-2?
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.
FAQ
Q: What is Form MG-2?
A: Form MG-2 is a request form used in New York for attending doctors to request approval of variance for medical treatment.
Q: Who can use Form MG-2?
A: Attending doctors can use Form MG-2 to request approval of variance for medical treatment in New York.
Q: What is a variance in the context of Form MG-2?
A: A variance is a request for approval of medical treatment that deviates from the guidelines provided by the New York Workers' Compensation Board.
Q: What information does Form MG-2 require?
A: Form MG-2 requires information about the patient, the requested variance, and the reasons for the variance.
Q: What is the carrier's response to Form MG-2?
A: The carrier is required to respond to Form MG-2 within 30 days, either approving or denying the requested variance.
Form Details:
- Released on April 1, 2018;
- The latest edition provided by the New York State Workers' Compensation Board;
- 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 MG-2 by clicking the link below or browse more documents and templates provided by the New York State Workers' Compensation Board.
Download Form MG-2 Attending Doctor's Request for Approval of Variance and Carrier's Response - New York
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