| Updated: |
4/6/2009 |
| Description: |
For workers' compensation claims in Oregon, a physician assistant must certify to the director of the Department of Consumer and Business Services, prior to treating a patient, that:
They are an Oregon licensed physician assistant
They have reviewed the packet of information
Return and submit the completed Physician Assistant's Statement of Certification form (Form 440-3650, which is located on the back page of the Physician Assistants' Guide to Oregon On-the-Job Injuries)
Once you have submitted your statement form, you should review our List of certified care providers to ensure your information is correct. |
| Duration: |
Ongoing |
| Fees - application, exam, etc.: |
None |
| Responsible Agency: |
Workers' Compensation Division - Licenses |
| Examination Information: |
There is a self-test in the "Physician Assistants' Guide to Oregon On-the-Job Injuries". |
| Continuing Ed Requirements: |
None |
| Bonding Requirements: |
None |
| Insurance Requirements: |
None |
| Prerequisites: |
1. Must be an Oregon licensed physician assistant
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 Web site. |
| Application Form: |
Physician Assistant's Statement of Certification |
| Service Links: |
 Physician Assistant's Statement of Certification
Physician Assistants' Guide to On-the-Job Injuries
 List of Certified Care Providers
 Online Physician Assistants Certification
Agency Contact Information
|
| Additional Information: |
For additional information or help on Physician Assistants certification, please contact th 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/ |
