Guidelines for Medical Evidence

Evidence from physicians in support of an OWCP claim must be written,
 in a narrative form, on the doctor’s stationery. The medical narrative must include the name of the injured or ill carrier, the dates of examination and treatment, and description of tests, X-rays, etc.

  The doctor must have first read a written statement from the injured or ill carrier that describes the on-the-job injury or conditions at work that caused the disability or disease.

  The doctor’s statement must contain these items:

 1. A written statement by the physician reflecting knowledge of the employee’s injury or injuries or conditions of employment believed to be the causative factor(s). The physician should ideally include or attach a copy of the written statement prepared by the employee, as described above, and should reference the employee’s statement with remarks such as: “I have read the statement dated [date] prepared by [the employee's name], regarding the injury/injuries sustained on [date of injury] and/or the conditions of employment at [work location] during the period from [date] to [date].
  2. A definitive diagnosis (no impressions).

  3. An opinion in definitive terms (no speculation). Was the injury or disease caused, aggravated, accelerated, or precipitated by the injury/injuries and/or the conditions of employment described by the employee? If the disability is considered temporary, then the opinion must specify the length of time that the employee will be disabled.

  4. Medical reasons for opinion—how did the physician, from a medical point of view, arrive at the opinion. This is very important and should be as specific as possible—and include how any test results formed a basis for the opinion.

  5. Period(s) of disability and the extent of disability during the period(s). This should specify whether the disability is total or partial, and if partial (as opposed to total disability for work as a letter carrier), the work limitations involved in working while partially disabled.

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