How to complete DWC Form PR-2 (California workers' comp)
PR-2 is the progress report the primary treating physician sends in a California workers' compensation case. This guide walks through it in the form's order.
- Form
- Primary Treating Physician's Progress Report (DWC Form PR-2)
- Issued by
- California Division of Workers' Compensation
- Revision
- Rev. 10/2015
- Checked against the source
- November 5, 2026
What it is and when it is used
California's Division of Workers' Compensation publishes PR-2 for the primary treating physician to report on an injured worker's progress to the claims administrator.
The top of the form lists the reasons for sending a report. Check every one that applies: a periodic report, a change in treatment plan, a release from care, a change in work status, a need for referral or consultation, a response to a request for information, a change in the patient's condition, a need for surgery or hospitalization, a request for authorization, or another reason.
The form says not to use it once the patient is permanent and stationary, meaning they have reached maximum medical improvement. Forms PR-3 or PR-4 are for that report.
Who completes which part
| Part | Completed by | What it covers |
|---|---|---|
| The whole form | Primary treating physician | The patient and claim details, the clinical sections, the work status, and the signature under penalty of perjury. |
The provider's part, section by section
For the subjective complaints and everything after them, the form says you may use the form itself, or substitute or attach a narrative report.
Patient and claim details
The patient's name, address, sex, date of birth, occupation and phone. Then the claims administrator's name, address, phone and fax, the claim number, the date of injury, and the employer's name and phone.
Subjective complaints
What the patient reports. The form marks this information as required.
Objective findings
Significant physical examination findings, and laboratory, imaging or other diagnostic results.
Diagnoses
Each diagnosis with its ICD-10 code, one per numbered line.
Treatment plan
The treatment given so far, then the planned treatment with its methods, frequency and duration. Name any consultation or referral, surgery or hospitalization, and each physician and non-physician provider. For physical medicine such as physical therapy, manipulation or acupuncture, give the type, frequency and duration. The form encourages CPT codes, and asks whether the plan has changed and why.
Work status
Check one instruction you gave the patient:
- Remain off work until a date.
- Return to modified work on a date, with every specific restriction listed (standing, sitting, bending, use of hands and so on).
- Return to full duty on a date, with no restrictions.
Signature and declaration
The date of the exam, your original signature (the form says not to stamp it), your California license number, where it was signed, the date, your name, specialty, address and phone. By signing you declare under penalty of perjury that the report is true and correct to the best of your knowledge, and that you have not violated Labor Code section 139.3.
Deadlines the form states
- The form says a periodic report is required 45 days after the last report.
Where it goes
The report goes to the claims administrator named on the form.
Official source
Rev. 10/2015. Checked against the issuer's copy on November 5, 2026. This guide paraphrases the form's own instructions; the form and California Division of Workers' Compensation are the authority.
How Scribeable fills it
Scribeable fills the official PR-2 from your visit note. It writes an answer only when the note states it.
Anything the note does not say stays blank for you to complete. Claim details the note does not carry, such as the claim number, stay blank as well. Your signature and the date you sign are always yours to add.
Each filled answer shows the sentence in the note it came from, so you can check it before you sign.
You review every field, then download or print the form, sign it, and send it to the claims administrator.
Other forms
- FMLA, employee (WH-380-E)U.S. Department of Labor, Wage and Hour Division
- FMLA, family member (WH-380-F)U.S. Department of Labor, Wage and Hour Division
- NY disability benefits (DB-450)New York State Workers' Compensation Board
- NY workers' comp narrative (CMS-1500 template)New York State Workers' Compensation Board
- FL disabled parking permit (HSMV 83039)Florida Department of Highway Safety and Motor Vehicles
- CA SDI Part B answers (DE 2501)California Employment Development Department
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