We are currently experiencing technical issues affecting some users' ability to access Board applications like eCase. In addition, users may also receive error messages within eCase. If you need assistance, or to report an issue, please email WCBCustomerSupport@wcb.ny.gov.
ECASE WILL BE UNAVAILABLE ON SUNDAY, MARCH 7, 2021 BETWEEN NOON AND 2PM
Doctor's Narrative Report (EC-4NARR) Narrative Attachment Requirements
- for initial report, include all requirements listed below
- for subsequent reports, include only facts and findings that are new or changed from your last report.
History of the injury/illness
- Who provided you with the information about the injury/illness?
- Describe where and how the injury/illness occurred
- Describe the patient's injury/illness and identify specifically any affected body parts
- Other treatment for the injury/illness including hospitalization or surgery
- Patient's subjective complaints
- Relevant medical history, incl. prior treatment for a similar work-related injury/illness
Objective Findings/Clinical Evaluation
- Physical examination (describe all relevant findings)
- Diagnostic procedure(s)/test(s) performed prior to the visit
- Diagnostic procedure(s)/test(s) performed during the visit
- Treatment rendered at time of exam, if any
- Diagnosis/clinical assessments
Plan of Care
- Proposed treatment and treatment goals (include type of treatment, frequency and anticipated duration of treatment)
- Medications (prescription and over-the-counter drugs) prescribed for the injury/illness
- Any work restrictions that may result from these medications
- Diagnostic test(s) ordered
- Referrals/Consultations requested
- Assistive devices prescribed
- Prognosis for recovery
- Follow-up appointment(s)
Work Status
- Can the patient return to usual work activities as indicated (A.11)?
- Are there any work limitations? (If so, explain and quantify, including the anticipated duration of the limitations)
- Describe discussions with the patient and employer regarding return to work with any applicable limitations
Impairment
(Comment only if patient has a temporary impairment as indicated in E.4)
- Describe findings and explain how impairment percentage was determined
Attachment File Types Accepted for Web Submission:
- Text files (.txt file extension)
- MS Word files (.doc file extension)
- Rich Text files (.rtf file extension)
- Tiff files preferably with a resolution of 200 dpi (.tif or .tiff file extension)
- JPEG files (.jpg file extension)
- GIF files (.gif file extension)
- BMP files (.bmp file extension)
- PDF files (.pdf file extension)
Attachment File Types Accepted for XML Submission:
- Text (included in XML file)
- Tiff files with a resolution of 200 dpi (.tif or .tiff file extension)