Free DWC Form PR-4: Primary Treating Physician’s P&S Report Template
Free DWC Form PR-4: Primary Treating Physician’s P&S Report Template
Download your free P&S Report template today and ensure accurate reporting of workers’ compensation claims!
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The DWC form PR-4 or the Primary Treating Physician’s Permanent and Stationary Report (P&S Report) is an important document in California workers’ compensation cases, submitted when an injured worker’s medical condition has stabilized and is not expected to improve further. This report signifies that the employee has reached maximum medical improvement (MMI) and is now considered permanent and stationary (P&S). The report plays a vital role in determining the worker’s permanent disability benefits.
What information is included in the PR-4 report?

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.
How to Submit the Report?

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.

How to Use the P&S Report Template
  • Click the download button to obtain the form.
  • Submit your email address to get a copy in your inbox.
  • Download and fill in the form with your specific details.
  • Send the completed form to the relevant regulatory agency for review.

Download your free P&S Report template today and ensure accurate reporting of workers’ compensation claims!

Download Your Free P&S Report Template
Download now to simplify the reporting process and ensure accurate claims management