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Printing - FECA-PT2 - National Association of Letter Carriers

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(b) Flag the pertinent medical reports in file and any statement <strong>of</strong> accepted facts<br />

(one need not be prepared just for this purpose); and<br />

(c) Note the date <strong>of</strong> referral in the CMF.<br />

(2) The RN will report to the CE either by telephone, in writing, or both (written reports<br />

are usually required each 30 days). The RN may note such information as the attending<br />

physician's opinion concerning length <strong>of</strong> disability, work limitations, etc. The CE may use<br />

this information as the basis for questions to the physician (see paragraph 6 below) but<br />

should not base adjudicatory actions on it, as it is not medical evidence. Of course, if the<br />

RN arranges for submission <strong>of</strong> a medical report from the physician, it may be used for<br />

adjudicatory purposes.<br />

(3) Periodically during the RN's intervention, or at the end <strong>of</strong> 120 days, the RN and the<br />

CE will confer, either by telephone, written memorandum, or face-to-face meeting, to<br />

determine the next actions. The CE should ensure that any recommendations are<br />

consistent with the medical findings.<br />

(a) The RN may recommend a second opinion examination and/or identify<br />

physicians who can perform such examinations on an expedited basis. The RN may<br />

also recommend medical or vocational rehabilitation services, or other kinds <strong>of</strong><br />

evaluation.<br />

(b) The CE should promptly make any indicated referral. For second opinion<br />

examinations, the CE may ask the RN to help formulate questions. For vocational<br />

rehabilitation services, the RN may complete Form OWCP-14, but the CE must sign<br />

it. The CE should document any reason for disregarding the RN's recommendations<br />

in a memo to the file.<br />

(c) The SN should note the date <strong>of</strong> closure for nurse services in the CMF.<br />

<strong>FECA</strong>-<strong>PT2</strong> Printed: 06/08/2010 62

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