Check the boxes which indicate why you are submitting a report at this time.
Periodic Report: required 45 days after last report.
Subjective Complaints: the information below must be provided; you may use this form or you may substitute or append a narrative report.
Objective findings: include significant physical examination, laboratory, imaging, or other diagnostic findings.
Treatment Plan: include treatment rendered to date; list methods, frequency and duration of planned treatment(s).
Work Status: this patient has been instructed to remain off-work, return to modified work, or return to full duty.
Signature: Primary Treating Physician: original signature, do not stamp.
| Question | Answer |
|---|---|
| Form Name | DWC Form PR-2 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 79 |
| Avg. time to fill out | 14 min |
| Edition | 10/2015 |
| Who signs | Primary Treating Physician |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | PR-2, PR2, PR 2, DWC Form PR-2, California PR-2, Primary Treating Physician's Progress Report |
| Official source | DWC Form PR-2 (Rev 10/2015), California Division of Workers' Compensation |
Form Pr2 isn’t the one you’re looking for?