Form ECP-TX (BWC-1914) Physician's Treatment Request - Ohio

Form ECP-TX (BWC-1914) Physician's Treatment Request - Ohio

What Is Form ECP-TX (BWC-1914)?

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 Form ECP-TX?
A: Form ECP-TX is a Physician's Treatment Request form in Ohio.

Q: What is the purpose of Form ECP-TX?
A: The purpose of Form ECP-TX is to request treatment for a work-related injury or illness.

Q: Who can use Form ECP-TX?
A: Form ECP-TX can be used by physicians treating injured or ill workers in Ohio.

Q: Do I need to submit Form ECP-TX to the Ohio Bureau of Workers' Compensation?
A: No, Form ECP-TX is not submitted to the Ohio Bureau of Workers' Compensation. It is used for communication between the treating physician and the employer's managed care organization.

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Form Details:

  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • 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 ECP-TX (BWC-1914) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form ECP-TX (BWC-1914) Physician's Treatment Request - Ohio

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