Summary of 2025 Form Changes

FORM CHANGES – EFFECTIVE JULY 1, 2025

WC-2a Notice of Payment of Suspension of Death Benefits
Form WC-2a has been amended to be consistent with the electronic form version in ICMS. Form WC-2a now includes a check box at the top for “NO DEPENDENTS.” The second page of the form also now includes a reference to O.C.G.A.§ 34-9-265(f).

WC-200a Change of Physician / Additional Treatment by Consent
Form WC-200a has been changed under section C. Agreement.  Section C (2) of this form has been modified by changing the word “remain” to the word “be” so that the parties’ agreement as to the primary treating physician is clear.

WC- 207 Authorization and Consent to Release Medical Information
Form WC-207 has been changed to include additional language regarding reproductive health information. The language is:

This release is not seeking and does not authorize the disclosure of protected health information relating to reproductive health as prohibited by the HIPAA Privacy Rule at 45CFR 164.502(a)(5)(iii). Any such disclosure would require a separate release.