Form DWC067 Designated Doctor Certification Application - Texas

Form DWC067 Designated Doctor Certification Application - Texas

What Is Form DWC067?

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

FAQ

Q: What is the Form DWC067 Designated Doctor Certification Application?
A: It is a form used in Texas to apply for certification as a designated doctor.

Q: Who should use Form DWC067?
A: Medical professionals in Texas who wish to become certified as designated doctors.

Q: What is the purpose of becoming a designated doctor?
A: Designated doctors play a key role in the workers' compensation system by providing medical evaluations and opinions on claims.

Q: What information is required on Form DWC067?
A: The form asks for personal information, professional qualifications, and a statement of why you want to become a designated doctor.

Q: Are there any fees for submitting Form DWC067?
A: Yes, there is an application fee that must be submitted with the form.

Q: How long does it take to process the application?
A: The processing time can vary, but typically it takes a few weeks to review and approve an application.

Q: What happens after my application is approved?
A: Once your application is approved, you will be notified and added to the list of certified designated doctors in Texas.

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Form Details:

  • Released on April 1, 2023;
  • The latest edition provided by the Texas Department of Insurance - Division of Workers' Compensation;
  • 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 Form DWC067 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance - Division of Workers' Compensation.

Download Form DWC067 Designated Doctor Certification Application - Texas

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