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Physical Capabilities Evaluation

Physical Capabilities Evaluation

A physical capabilities evaluation helps the treating physician by creating a clear and accurate account of the injured worker’s job and the physical demands. 

The Physical Capabilities Evaluation (PCE) Form is to be used with the Employee Worker Profile. The PCE breaks down the Injured Worker’s job in its physical components. In reviewing the form, you will see examples of kneeling, sitting, lifting, etc. Complete this form in its entirety specifically to the job at hand. This form, along with the Employee Worker Profile, should be sent to the treating physician so he/she has a clear and accurate idea of the Injured Worker’s job and the physical demands needed to complete it.

Download the Physical Capabilities Evaluation Form (PDF)

If you have any questions, please do not hesitate to contact the MCI Voc/Med Manager at (804) 775-0710.

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