Activity Prescription Form (APF) (F242-385-000)
If released to modified duty, may work more than normal schedule Worker may work limited hours: _____ hours/day from (date): ... F242-385-000 Activity Prescription Form (APF) 102018 - Index: APF. Thank you for treating this injured worker Discuss your patient’s role in their recovery Research has shown that returning to activity (including ... ................
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