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Form DWC072 Medical Quality Review Panel Application - Texas
What Is Form DWC072?
This is a legal form that was released by the Texas Department of Insurance - Division of Workers' Compensation - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DWC072 form?
A: The DWC072 form is the Medical Quality Review Panel Application in Texas.
Q: What is the purpose of the Medical Quality Review Panel?
A: The purpose of the Medical Quality Review Panel is to evaluate the quality of medical care provided in workers' compensation cases.
Q: Who should fill out the DWC072 form?
A: The DWC072 form should be filled out by healthcare providers who have been asked to participate in the Medical Quality Review Panel.
Q: Is there a fee for submitting the DWC072 form?
A: No, there is no fee for submitting the DWC072 form.
Form Details:
- Released on January 1, 2013;
- The latest edition provided by the Texas Department of Insurance - Division 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 DWC072 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.
Download Form DWC072 Medical Quality Review Panel Application - Texas
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