Authorization Number : 855-1141
Agency Series No. : ALLS - 33
Status : Active
Agency Web Link :
Agency : BWC
Confidential Description : Contains the employee's name, date of visit, return to work date, and may include a medical prognosis.
Division : BWCALLS
Vital Description :
Section : BWCALLSALLS
Record Title : Physician Verification Slip
Revision : 1
Record Description : The Physician Verification Slip is a record verifying the employee was seen by the physician. Employees submit a verification slip to the supervisor to meet requirements of a physician verification direct order.