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Workers' Compensation Division (WCD)

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the medical reviewer of the day    503-934-6049    Rules, Bulletins, and Forms For health care providers Questions? Ask MRT Reviewer of the day: 503-934-6049 E-mail MRT        Rules     OAR Chapter 436, Division 009 - Medical fees and relative value schedule     OAR Chapter 436, Division 010 - Medical Services     OAR Chapter 436, Division 015 - Managed Care Organizations  Bulletins     Bulletin 112 - Reimbursement of injured workers' travel, food, and lodging costs -- Revised 12/09 associated form(s): 3921 3921s     Bulletin 220 - Medical data reporting -- Revised 8/07     Bulletin 239 - Claim closing and other impairment-focused examinations and forms for reporting impairments - Effective 6/1/10 associated form(s): 2278L 2278T 2278c 4842 4841 2279 2312     Bulletin 247 - MCO quarterly reports -- Revised 9/09     Bulletin 248 - MCO geographical service areas -- Revised 1/07     Bulletin 251 - Change of attending physician or authorized nurse practitioner request -- Revised 1/08 associated form(s): 2332     Bulletin 281 - Form 440-2476, "Request for release of medical records for Oregon Workers' compensation claim" -- Revised 9/05 associated form(s): 2476 2476s     Bulletin 292 - Workers' compensation medical reporting forms -- Revised 4/30/10 associated form(s): 3245 827     Bulletin 293 - Form and format for request for administrative review of medical disputes -- Revised 3/07 associated form(s): 2842 2842a     Bulletin 307 - Spanish translation Form 827S available -- Revised 6/3/10 associated form(s): 827s     Bulletin 308 - Invasive medical procedures during an independent medical examination (IME) -- Effective 1/1/06 associated form(s): 3227     Bulletin 352 - Fee Discount Agreement form and reporting - Effective Jan. 1, 2009 associated form(s): 3659  Forms     Analysis of upper extremity use for office activities (3289)     Application for Independent Medical Exam Medical Service Provider Authorization (3930)     Chiropractic Physician's Statement of Certification (3648)     Elective Surgery Notification (3228) For instruction see 309     Fee Discount Agreement (3659) For instruction see 352     Invasive Medical Procedure Authorization (Autorización para Procedimiento Médico Invasivo) (3227) For instruction see 308     Lower Extremity Range of Motion (4841) For instruction see 239     Medical forms order form (3210)     Naturopathic Physician's Statement of Certification (3651)     Nurse Practitioner's Statement of Authorization (2882)     Physician Assistant's Statement of Certification (3650)     Podiatric Physician's Statement of Certification (3649)     Release to Return to Work (3245) For instruction see 292     Reporte del Trabajador y del Proveedor Médico para Reclamaciones de Compensación para Trabajadores (827s) (827s) For instruction see 292 307     Request for Release of Medical Records for Oregon Workers' Compensation Claim (2476) For instruction see 281     Shoulder Range of Motion (4842) For instruction see 239     Solicitud para Divulgar Expedientes Médicos para Reclamación de Compensación para Trabajadores de Oregon (Request for Release of Medical Records for Oregon Workers' Compensation Claim) (2476s) (2476s)     Spinal (Cervical) Range of Motion (2278c) For instruction see 239     Spinal (Lumbar) Range of Motion (2278L) For instruction see 239     Spinal (Thoracic) Range of Motion (2278T) For instruction see 239     Upper Extremity Range of Motion Deformity/Deviation Amputation and Sensation (2279) For instruction see 239     Visual Impairment (2312) For instruction see 239     Worker Requested Medical Examination Statement of Interest (3299)     Worker's and Health Care Provider's Report for Workers' Compensation Claim (827) For instruction see 292 If you have questions about this webpage, please contact the medical reviewer of the day, 503-934-6049.

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