bluehive.com/services/return-to-work-evaluation/prepare
Preparation Checklist
Check off each item as you prepare for your appointment.
What to Bring
5 itemsHow to Prepare
2 itemsGeneral
1 itemWhat to Expect
Here's what will happen during your visit.
Submit Request
Employer or employee initiates return-to-work evaluation request.
Provide Documentation
Submit treating physician's release and job description.
Complete Evaluation
Employee undergoes examination focused on job requirements.
Return to Work
Receive clearance with any necessary restrictions or accommodations.
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Forms typically used during a Return-to-Work Evaluation visit
BlueHive doesn't fill out forms — providers do. These are the official forms a provider may use during this visit so you know what to expect.
- Workers’ Comp
Physician's Report
Physician's Report — state-prescribed clinician report used by the state workers’ comp agency.
View form details - Workers’ CompICA Form 102
Worker's and Physician's Report of Injury
Worker's and Physician's Report of Injury (ICA Form 102) — state-prescribed clinician report used by the state workers’ comp agency.
View form details - Workers’ CompForm 3
Physician's Report
Physician's Report (Form 3) — state-prescribed clinician report used by the state workers’ comp agency.
View form details