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

What Does “Permanent and Stationary” Mean?

The term permanent and stationary (P&S) indicates that:

• The injured worker’s condition has reached a stable point with no expected significant improvements.
• Further medical treatment will not result in substantial changes in the worker’s condition.
• The worker’s current medical limitations can now be evaluated for disability benefits.

Purpose of the P&S Report (DWC Form PR-4)

The Primary Treating Physician’s Permanent and Stationary Report serves various important purposes, such as:

• Documenting the patient’s condition: It provides a detailed assessment of the worker’s medical conditions, limitations and functional abilities.
• Determining the disability benefits: Insurers use the report to calculate the worker’s permanent disability rating, which impacts their compensation.
• Supporting return-to-work decisions: The report helps employers and claims administrators determine if the worker can resume work or requires accommodations.
• Ensuring compliance: Submission of the report is a legal requirement under California’s worker’s compensation laws.

Who completes the PR-4 report?

The primary treating physician (PTP), the doctor responsible for managing the worker’s medical treatments, is responsible for completing and submitting the report. The PTP assesses the worker’s health condition and outlines the much-needed future medical care and work restrictions, if any.

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.

Download Your Free P&S Report Template

Streamline your workers’ compensation process with our free Primary Treating Physician’s Permanent and Stationary Report template. This easy-to-use form helps ensure compliance with workers’ compensation requirements and provides clear documentation of an injured worker’s condition.

Download now to simplify the reporting process and ensure accurate claims management.