Can a physical or occupational therapist complete the MG-2 form, send it to the treating physician for signature, and then submit the request to the appropriate parties?
Yes. A physical therapist may complete the MG-2/MG-2.1 form(s) including the Guideline reference codes and supportive documentation of objective findings, and submit it to the treating medical provider for review, approval and signature. Once the treating medical provider approves and signs the form(s), the physical therapist may submit the completed MG-2/MG-2.1 form(s) on behalf of the treating medical provider. The completed MG-2 form must be submitted to the insurance carrier or self-insured employer, the Workers’ Compensation Board, and the claimant’s legal counsel, if any, or to the claimant if not represented.
