Printing - FECA-PT2 - National Association of Letter Carriers

(3) Subjective complaints of the claimant.
(4) Results of any laboratory tests and/or X-rays.
(5) Identification of any pre-existing condition or underlying degenerative processes.
(6) Diagnosis.
(7) Prognosis.
(8) Reasoned opinion as to the causal relationship between the diagnosed condition(s)
and the employment incident or factors.
(9) Course of treatment to be followed.
(10) Clinical estimate of the date of partial and/or full recovery.
(11) Any medically warranted work limitations (using the OWCP-5).
If any of this information is lacking or requires clarification, the CE should ask the attending
physician to furnish it. Failure of the attending physician to respond completely (or at all) within
45 days indicates the need for a second opinion referral.
d. Take the following actions:
(1) Request additional medical evidence if necessary and establish the next intervention
point. If the physician has not provided a comprehensive report as described above, a
follow-up request should be made. If the physician has not yet given a clinical estimate of
the date of partial or full recovery, the CE should request this information and set a 45-day
call-up.
If complete and supportive medical evidence is received, establish the next intervention
point and set a new call-up. This process should be repeated as necessary. If at any point
a request for clarification does not result in receipt of the desired information within 45
days, consideration should be given to referral for a second opinion.
(2) Ask the employing agency to provide a copy of the claimant's position description, an
assessment of the physical and any special emotional requirements of that position, and a
statement as to the availability of limited or light duty. This information can be requested
using Form CA-1656.
FECA-PT2 Printed: 06/08/2010 364