1. Division of Risk Management State of Florida Loss Prevention Program

2.  Provide brief history of the DWC-25 form development.  Provide overview of statute and administrative rule authority.  Review purpose of DWC-25.  Review content of DWC-25.  Current application of the form.

14.  In this section you will find physicians’ requests for:  Consultation or referral to a specialist.  Diagnostic testing.  Physical therapy/durable medical equipment.  Pharmaceuticals/attendant care.  Surgical intervention.

18. For more information on this subject, please contact: Division of Risk Management State of Florida Loss Prevention Program StateLossPreventionProgram@myfloridacfo.com (850)413-4756