In the Texas Workers’ Compensation system doctors must be certified to provide a certification of impairment (DWC-69). Doctors who are not certified may provide a certification finding the injured worker not at maximum medical improvement (MMI) or may place the injured worker at MMI with no impairment.
The first examination to certify MMI must be done by a treating doctor, a referral from the treating doctor or a designated doctor. A post designated doctor required medical examiner may certify the injured worker only after an examination for MMI by the designated doctor.
Finally, any certification must come from a doctor that has actually examined the injured worker. A peer review doctor or any other doctor just examining records can not provide a certification of MMI.
Daniel L Morris, The Morris Firm PLLC, firstname.lastname@example.org (214)357-1782