COHE Forms & Resource Links


Clinical Occupational Health Best Practices

An efficient job aid for providers, support staff, medical records, billing and administrators as a quick glance guide describing each step of the Occupational Health Best Practices in a clinic setting. 

Emergency Department Occupational Health Best Practices

An efficient job aid for providers, support staff, medical records, billing and administrators as a quick glance guide describing each step of the Occupational Health Best Practices in a ED setting.

L&I Activity Prescription Form

The APF is to be completed by the COHE provider on initial and follow-up visit when the injured worker has not returned to full duty. Completion of this form allows COHE providers to receive enhanced fees using billing code 1073M.

Guide: Barriers to Return-to-Work

Providers use the checklist as a guide to assist in evaluation of patients who are at risk of long term disability, on time loss, or when a light duty Return-to-Work (RTW) attempt was not successful.

Attending Provider's Return to Work Desk Reference

A helpful reference for for medical providers interested in more resources about Return to Work best practices.

Employer Job Description Form

An L&I form to be completed by employer of record to describe tasks and physical demands for restricted/modified duty jobs to facilitate return-to-work. Provider completes second page when presented by employer, employer representative, claim manager or vocational rehabilitation counselor.

COHE Letter of Intent

This form is to be completed and faxed to the COHE office as a statement of interest in MDs, DOs, DCs, ARNPs and PACs that would like to participate in COHE.

Department of Labor and Industries

Official website of the Washington State Department of Labor & Industries. Access information regarding all aspects of the Department for businesses, workers and medical providers, including locating a provider approved in the Medical Provider Network, FileFast, ordering L&I forms and completing forms online.

Claims and Accounts Center (Secure Access Washington)

Secure Access Washington is a single sign-on application gateway that allows you to access multiple online government services including Claims and Accounts Center to review injured worker claims.