| Updated: |
2/3/2009 |
| Description: |
For workers' compensation claims in Oregon, a nurse practitioner must become authorized prior to treating a patient. To become an authorized nurse practitioner, you MUST:
- Be an Oregon licensed nurse practioner
- Review the packet of information
- Return and submit the completed Nurse Practitioner Statement form (Form 440-2882, which is located on the back page of the Nurse Practitioner's Guide to Oregon On-the-Job Injuries)
- Receive your nurse practitioner authorization number
Once you have returned your statement form, and have received your authorization number, you should review our List of certified care providers to ensure your information is correct. |
| Statutes, Rules, Ordinances: |
ORS 656.797
OAR 436-010-0210(6)
|
| Duration: |
Ongoing |
| Fees - application, exam, etc.: |
None |
| Responsible Agency: |
Workers' Compensation Division - Licenses |
| Examination Information: |
There is a self test in the "Nurse Practitioners Guide to Oregon On-the-Job Injuries." |
| Continuing Ed Requirements: |
None |
| Bonding Requirements: |
None |
| Insurance Requirements: |
None |
| Prerequisites: |
1. You must be an Oregon licensed nurse practitioner.
2. Read and understand information required by the Workers' Compensation Division. This information can be obtained from the division by calling 503-947-7627 or from the WCD Website. |
| Application Form: |
Nurse Practitioner Statement |
| Service Links: |
 "Nurse Practitioners Guide to Oregon On-the-Job Injuries'"(booklet)
 Authorized Nurse Practitioners List
 Authorization form
Agency Contact Information
|
| Additional Information: |
Nurse Practitioners Authorization Information
For additional information and/or help on nurse practitioners authorization, please contact the Medical Section at 503-934-6049. |
|
| |
Agency Information
|
|
Please refer to the Agency Website for further details and additional information.
|
| Agency Name: |
Workers' Compensation Division - Licenses |
| E-mail Address: |
Workcomp.questions@state.or.us
|
| Phone: |
503-947-7810
or 800-452-0288 (toll-free in Oregon)
|
| Mail Address: |
DCBS - Workers' Compensation Division
PO Box 14480
Salem, OR 97309
- 0405
|
| Website Information: |
http://www.wcd.oregon.gov/ |
