Workers’ Comp Centralizes Designated Doctor Reports, Narratives

Texas workers’ compensation designated doctors must fax reports and associated narrative attachments to a single, central fax number: (512) 490-1047.

Do not send these reports and narratives to Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) field offices or other agency fax numbers.

Note these DWC forms: 

  • TDI-DWC Form-069, Report of Medical Evaluation,
  • TDI-DWC Form-068, Designated Doctor Examination Data Report, and
  • TDI-DWC Form-073, Work Status Report, for use when evaluating an injured employee’s ability to return to work.

Submit the forms to TDI-DWC as a part of the designated doctor report at the fax number listed above.

For more information, call Comp Connection for Health Care Providers at (800) 252-7031 (or [512] 804-4000 in the Austin area) and select option 3. Also visit Designated doctor resources and information on the TDI website. 


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Last Updated On

March 24, 2021

Originally Published On

February 08, 2011

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