Search results
FORM C-42. Employer. List at least three physicians and provide this panel to employee upon the report of a workplace injury. Keep the completed, signed version of this form on file and send a copy to the employee for their records. Do not send this form to the State unless requested. Employee.
Medical Panel. Employers should offer injured workers a panel of physicians when a work-related injury is reported via the "Employee's Choice of Physician" Form. Required by Law. Most Tennessee employers are required by law to provide a panel of physicians within three business days of receiving notice of a work-related injury.
FORM C-42. Employer. List at least three physicians and provide this panel to employee upon the report of a workplace injury. Keep the completed original form on file and send a copy to the employee for their records. Do not send this form to the State unless requested. Employee.
Tennessee adopted a change on October 19, 2021 that afects the TN C-42, the mandatory medical panel which must be provided by the employer at the time of injury. This change requires employers to provide a Telehealth option via the TN C-42.
19 paź 2021 · Telehealth provider(s) listed on the Form C-42 Choice of Physicians form may be considered as an additional option(s) to those providers who are willing to treat the injured worker in person.
Filling out the Tennessee C 42 form, which facilitates the agreement between employer and employee regarding the choice of physician in line with the Tennessee Workers' Compensation Law, necessitates meticulous attention to detail.
Tennessee Bureau of Workers’ Compensation and provided by your insurance carrier or TPA, is designed to give you a better understanding of your role and responsibilities under the workers’ compensation system.
