Physician/Health Care Tab
Use this tab to enter detailed information about the physician and/or health care facility, if required for this case record.
Update this tab whenever an employee has been injured in a work-related accident or reports an illness caused by working conditions.
Contents
Field | Description |
---|---|
Employee Treated in Emergency Room |
Select this check box if the employee was treated for the injury/illness in the emergency room. This information is requested on the OSHA 301 Form. |
Employee Hospitalized Overnight as an Inpatient |
Select this check box if the employee was hospitalized overnight as an inpatient. This information is requested on the OSHA 301 Form. |
Physician
Use the fields in this group box to record the name and address information for the attending physician.
Field | Description |
---|---|
Name |
Enter the name of the attending physician in this optional field. |
Address |
Enter the street portion of the attending physician's address in this optional field. |
City |
Enter the city portion of the attending physician's address in this optional field. |
State/Province |
Enter, or use to select, the code for the state/province portion of the physician's address. State/province codes are validated against the system's State table. This is an optional field. |
Postal Code |
Enter the zip code or foreign postal code portion of the attending physician's address. This field is optional. |
Hospital
Use group box to record name and address information for the facility treating the employee's injury or illness.
Field | Description |
---|---|
Name |
In this optional field, enter the name of the treating facility. |
Address |
Enter the street portion of the facility's address in this optional field. |
City |
Enter the city portion of the facility's address in this optional field. |
State/Province |
Enter, or use to select, the code for the state/province portion of the treating facility's address. State/province codes are validated against the system's State table. This is an optional field. |
Postal Code |
Enter the zip code or foreign postal code portion of the facility's address in this optional field. |