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. |