Post Injection Pain Response Note now Available

February 2014

A new form, Post Injection Pain Response Note, is available for providers to document response to an injection. The form contains pertinent information WSI requires for additional injections, which may not be included in the medical documentation.

The intent of the Post Injection Pain Response Note is to supplement the documentation; its use is not mandatory. The new form does not replace the necessity of the UR-C form to request additional injections.

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