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.
Q: What is the DWC068 Form?
A: The DWC068 form is the Designated Doctor Examination Data Report used in Texas.
Q: Who uses the DWC068 Form?
A: The DWC068 form is used by designated doctors in Texas.
Q: What is the purpose of the DWC068 Form?
A: The DWC068 form is used to report the results of medical examinations conducted by designated doctors.
Q: What information is included in the DWC068 Form?
A: The DWC068 form includes details about the injured employee, the medical examination findings, and any recommended work restrictions or impairment ratings.
Q: Are there any fees associated with the DWC068 Form?
A: There may be fees associated with the DWC068 form, such as examination fees or medical record fees. These should be discussed with your employer or workers' compensation insurance carrier.
Q: Can I fill out the DWC068 Form myself?
A: No, the DWC068 form can only be filled out by a designated doctor who has conducted the medical examination.
Q: What should I do if I have questions about the DWC068 Form?
A: If you have questions about the DWC068 form, you should contact your employer or workers' compensation insurance carrier for assistance.
Form Details:
Download a fillable version of Form DWC068 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.