After each respirable crystalline silica surveillance exam, the PLHCP must give the employer a written medical opinion within 30 days. OSHA's non-mandatory Appendix B to 29 CFR 1910.1053 includes a sample form for it, one of three sample documents alongside the employee's written medical report and an authorization form. Its content is limited unless the employee signs that authorization.
The examining physician or other licensed health care professional (PLHCP) completes and signs the whole opinion, attesting that the exam met 1910.1053(h) or 1926.1153(h). The employee signs only the separate authorization form.
The issuer sets what the letter or report must contain; check its current rules before you write it.
Written Medical Opinion for Employer
There is no form to fill: the program asks for a letter or report with the content it sets. Vero Scribe writes the visit note it draws on, so the details are ready when you write it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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OSHA's silica rules made the employer opinion more confidential than earlier standards. Unless the employee signs the written authorization, the employer learns only the exam date, that it met requirements and respirator limitations. The PLHCP should explain the consequences of signing or not signing so the employee can choose.
If the authorized opinion recommends a specialist, the employer must make an exam by a Board Certified Specialist in Pulmonary Disease or Occupational Medicine available within 30 days after receiving the opinion. A chest X-ray B reading of 1/0 or higher is one finding that calls for referral.