Free DWC Form PR-4: Primary Treating Physician’s P&S Report Template

The P&S or PR-4 report provides a comprehensive overview of the worker’s medical status, including:

• Employee details such as the name, date of injury, and claim information.

• Diagnosis and treatment history in the form of summary of medical care provided.

• Current condition assessment like functional limitations and work restrictions.

• Future medical needs such as the recommendations for ongoing care, if necessary.

• Permanent disability rating based on the worker’s level of impairment.

In California, the Primary Treating Physician’s Permanent and Stationary Report is typically submitted using the standardized DWC Form PR-4. Once completed, the report should be sent to:

The claims administrator, to process the worker’s permanent disability benefits.

The employer, to assist with return-to-work planning.

The injured worker, to ensure transparency in their claim process.