Activity Prescription Form - • with reports of accident when there are work related physical restrictions or • when requested by the insurer. For example, your doctor may set limits on the weight you can lift from the floor to your waist, your waist to your shoulders, and above your shoulders. Please complete the attached activity prescription form (apf) so we can continue to help the worker recover. Web activity prescription form (afp) is very important to get l&i claim benefits on time. Important notes • use this form to communicate work status, activity restrictions, and treatment plans. Kaiser permanente providers use apfs to communicate with patients, employers, and claim managers as part of the occupational health best practices. Give the icd code(s) or a written description. Apf cohe best practice #2: Web an activity prescription form (apf) is a document that outlines the work restrictions and activities that an injured worker can or cannot perform. Six key fields must be completed on the form.
Web thank you for treating washington injured workers. Six key fields must be completed on the form. Complete & timely activity prescription form (apf 1073m) fax apf with chart notes to 360.902.4567 cohe best practice #3: • with reports of accident when there are work related physical restrictions or • when requested by the insurer. Web an activity prescription form (apf) is a document that outlines the work restrictions and activities that an injured worker can or cannot perform. For example, your doctor may set limits on the weight you can lift from the floor to your waist, your waist to your shoulders, and above your shoulders. Kaiser permanente providers use apfs to communicate with patients, employers, and claim managers as part of the occupational health best practices. Web activity prescription form (afp) is very important to get l&i claim benefits on time. Please complete the attached activity prescription form (apf) so we can continue to help the worker recover. Send chart notes and reports, as usual. Important notes • use this form to communicate work status, activity restrictions, and treatment plans. Complete all relevant sections of the form. Use the apf to communicate that activity helps recovery. Web activity prescription forms, or apfs, are forms that doctors use to outline your physical restrictions from an industrial injury. Diagnosis — provide the primary diagnosis for today’s visit. Give the icd code(s) or a written description. Apf cohe best practice #2: