Form C-4.3, created by the Workers’ Compensation Board in January 2012, represents somewhat drastic changes in the way that physicians document permanent impairments in New York State Workers’ Compensation claims.

The new form has been modified to accommodate the 2012 permanency guidelines.

In classifiable cases, the physician must document whether or not maximum medical improvement has been reached and specifically identify the function capacities and exertional abilities of the patient. Section F of the form requires the doctor to quantify the limitations caused by the injury in 15 different categories such as lifting, kneeling, and driving a vehicle.

New York physicians are also required to document the body part affected by the injury, impairment table reference, and severity ranking.

Without question, a physician who properly completes the form will spend a significant period of time doing so. However, if the form is completed in its entirety, the physician will be entitled to payment under New York’s level 5 consultation code in order to compensate the professional for his or her efforts.

If you have been injured in a work related accident in New York and believe that you have suffered a permanent impairment, please contact Paul Giannetti Attorney at Law for a free consultation.