20 CFR § 30.415
What are the requirements for medical reports?
February 18, 2021
In general, medical reports from the employee's attending physician should include the following:
(a) Dates of examination and treatment;
(b) History given by the employee;
(c) Physical findings;
(d) Results of diagnostic tests;
(e) Diagnosis;
(f) Course of treatment;
(g) A description of any other conditions found due to the claimed occupational illness or covered illness;
(h) The treatment given or recommended for the claimed occupational illness or covered illness; and
(i) All other material findings.