Form MEDCO-14 (BWC-3914) Physician's Report of Work Ability - Ohio

What Is Form MEDCO-14 (BWC-3914)?

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

FAQ

Q: What is MEDCO-14?
A: MEDCO-14 is a form for physicians to report the work ability of a patient in Ohio.

Q: Who uses MEDCO-14?
A: Physicians in Ohio use MEDCO-14 to report the work ability of their patients.

Q: What is the purpose of MEDCO-14?
A: The purpose of MEDCO-14 is to provide information about a patient's ability to work to support workers' compensation claims.

Q: What information is required on MEDCO-14?
A: MEDCO-14 requires information about the patient's medical condition, work restrictions, and ability to perform specific job tasks.

Q: Do I need a physician's signature on MEDCO-14?
A: Yes, MEDCO-14 requires a physician's signature and contact information.

Q: Can MEDCO-14 be submitted electronically?
A: No, MEDCO-14 cannot be submitted electronically. It must be completed by hand and submitted in hard copy.