WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner - Maryland

WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner - Maryland

What Is WCC Form VR06?

This is a legal form that was released by the Maryland Workers' Compensation Commission - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner?A: The WCC Form VR06 is an agreement used in Maryland to ensure proper selection of medical services and practitioner for workers' compensation cases.

Q: Why is the WCC Form VR06 used?A: The form is used to establish the propriety of medical services and to document the selection of a practitioner for a workers' compensation case in Maryland.

Q: Who uses the WCC Form VR06?A: The form is used by employers, insurers, and self-insured employers in Maryland for workers' compensation cases.

Q: Are there any specific requirements for completing the WCC Form VR06?A: Yes, the form must include the injured employee's consent, the practitioner's agreement to follow the WCC fee schedule, and the employer's agreement to pay for the services.

Q: What happens after the WCC Form VR06 is completed?A: Once the form is completed, it should be submitted to the WCC for review and approval.

Q: Is the WCC Form VR06 mandatory for workers' compensation cases in Maryland?A: Yes, the form is mandatory and must be completed in accordance with the Maryland Workers' Compensation Act.

Q: Can the selection of a practitioner be changed after submitting the WCC Form VR06?A: Yes, the selection can be changed if there is good cause, but the change must be documented and submitted to the WCC for approval.

Q: What should I do if I have questions or need assistance with the WCC Form VR06?A: You should contact the Maryland Workers' Compensation Commission for assistance or consult with a workers' compensation attorney.

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Form Details:

  • Released on April 1, 2014;
  • The latest edition provided by the Maryland Workers' Compensation Commission;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of WCC Form VR06 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Maryland Workers' Compensation Commission.

Download WCC Form VR06 Agreement on the Propriety of Services and Selection of Practitioner - Maryland

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