COHE Forms & Resource Links
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| | COHE Process Job Aid (Clinic) An efficient job aid for providers, support staff, medical records, billing and administrators as a quick glance guide describing each step of the Occupational Health Best Practices in a clinic setting | Download |
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| | COHE Process Job Aid (Emergency Department) An efficient job aid for providers, support staff, medical records, billing and administrators as a quick glance guide describing each step of the Occupational Health Best Practices in a ED setting. | Download |

| | COHE Emerging Best Practices
As a part of the Healthy Worker 2020
initiative Washington State Labor and Industries (L&I) will soon be
implementing new best practices.
L&I is designing new
occupational-health best practices that span the full period of an injured
worker's recovery with the goal to:
- Encourage the early use of active care with a focus on
clinically meaningful improvement in function.
- Provide an innovative collaborative approach, with opportunities
to improve the workers functional outcomes and streamline care delivery.
| Download |
| | L&I Activity Prescription Form The APF is to be completed by the COHE provider on initial and follow-up visit when the injured worker has not returned to full duty. Completion of this form allows COHE providers to receive enhanced fees using billing code 1073M | Download |
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| | Barriers to Return-to-Work Guide Providers use the checklist as a guide to assist in evaluation of patients who are at risk of long term disability, on time loss, or when a light duty Return-to-Work (RTW) attempt was not successful. | |
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| | Attending Provider's Return to Work Desk Reference A handy reference for for medical providers interested in more resources about Return to Work best practices. | |
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| | Employer Job Description Form L&I Form to be completed by employer of record to describe tasks and physical demands for restricted/modified duty jobs to facilitate return-to-work. Provider completes second page when presented by employer, employer representative, Claim Manager, or Vocational Rehabilitation Counselor | Download |
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| | COHE Letter of Intent This form is to be completed as a statement of interest in MDs, DOs, DCs, ARNPs, and PACs that would like to participate in COHE. Completed forms should be faxed to the COHE office at 86 6 -853-0137. | Download |
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| | Department of Labor and Industries Official website of the Washington State Department of Labor & Industries. Access information regarding all aspects of the Department for businesses, workers and medical providers, including locating a provider approved in the Medical Provider Network, FileFast, ordering L&I forms and completing forms online. | |
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| | Claims and Accounts Center (SAW) Secure Access Washington is a single sign-on application gateway that allows you to access multiple online government services including Claims and Accounts Center (CAC) to review injured worker claims. | |
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