Forms & Links
Preauthorization Request Form
Change of Physician Form
Provider Nomination Form
DWC 69: Report of Medical Evaluation
DWC 73: Texas Workers’ Compensation Status Report
City of Fort Worth Authorization to Release Medical Records
Employee's Extension of Treatment Request Form
Approved Primary Treating Physician as of 12.20.17 - printable version
Approved Specialty Physician as of 08.14.17 - printable version
Official Disability Guidelines and Return to Work Module
Return to Work Guidelines
Texas Department of Insurance
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