Prepare for a treatment visit
Workers' Comp Video Treatment Visit Checklist
Use this tool now
Use this checklist for a treatment appointment by video, not a QME or AME examination. Confirm the arrangements before the visit and preserve what happened if the connection or communication fails.
How to use it
- 1.Use one checklist for each treatment video visit. Copy details from the appointment notice.
- 2.Contact the clinic before the visit about missing records, language needs, privacy, device access, or connection problems.
- 3.Keep this checklist privately with your appointment records; do not put passwords or access codes on it.
Checklist
Workers' Comp Video Treatment Visit Checklist
Identify the appointment
Confirm the clinician, date, time, claim arrangement, and whether this is treatment rather than a QME or AME exam.
Confirm the format and alternatives
Ask the clinician about consent, limits of video, and whether an in-person examination is needed.
Arrange communication support
Request the needed language and confirm how the interpreter or other assistance will join.
Check the technology and backup contact
Confirm the platform instructions and clinic number to call if the connection fails.
Prepare existing medical records
Ask how to securely provide reports, test results, medication list, and current work-status note.
Describe actual work and symptoms
Give accurate examples. Do not recreate the injury or perform unsafe movements for the camera.
Document a failed or incomplete visit
Record join attempts, technical errors, contacts, and responses without unnecessary private information.
Confirm the next step
Ask whether the visit was completed, whether another format is needed, and when follow-up will occur.
Request the written visit record
Ask for the summary, treatment plan, restrictions, and status of any treatment-authorization request.
Avoid
- — Do not treat this checklist as permission to cancel a QME or AME examination.
- — Do not assume a video link proves authorization or that one failed call permits any outside doctor.
- — Do not record the consultation without first addressing permission and applicable rules.
Keep with this tool
- — Appointment notice
- — Requests for access or language help and responses
- — Technical-failure timeline
- — Visit summary and work-status note
- — Treatment-request and follow-up records
Common questions
What if I cannot use video?
Tell the clinic early and ask what alternative can be arranged. If an MPN applies, its medical access assistant can help with scheduling and access.
Is a QME video exam the same?
No. Remote medical-legal evaluations have separate conditions, including required written agreement. Ask your lawyer or DWC Information and Assistance about the process.
Does a recommendation mean treatment is approved?
Not necessarily. Ask whether the treating physician submitted a request for authorization and keep the written response.
Read the deeper explanation
Workers' Comp Video Visit? What to Confirm Before You Log InAuthoritative sources
Check the linked official source for current forms and rules. Updated: .
WCLG
Need help with the actual claim?
Every claim depends on its documents, medical evidence, and procedural history. WCLG offers a free consultation without promising a result.