• Certify whether your injury is work-related.
• Decide if you can return to work.
• Help you file a claim. This is done on the accident report form that must have a signature of a medical doctor or an Advanced Registered Nurse Practitioner (ARNP).
  If your employer is self‑insured, you and your doctor will complete the Provider's Initial Report (PIR).
• Recommend any further treatment you may need.

About a third of all Washington employees work for self‑insured employers.