Teachers Retirement System of Georgia members applying for disability retirement must send DB-3 to every physician who treated or diagnosed them in the last 12 months. The physician reviews the attached job description and states whether the member can perform the job, which duties they cannot perform, the diagnosis, supporting findings, prospects for recovery and treatment.
The member completes the top section, signs a release of all medical records including psychiatric records, and attaches their job description. The physician completes the rest: ability to perform the job, job duties, diagnosis, findings and test results, abnormalities, recovery, treatment, referrals and a signed authorization.
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Physician's Report
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Every physician who treated or diagnosed the member's condition in the last 12 months should receive a copy. The member is responsible for sending one to each physician with the current job description attached, and TRS needs a current evaluation stating specifically whether the member is disabled for the job held.
The member. The form asks the physician to bill the person named on the report for any charges, and tells members that charges for medical information are at their expense. TRS pays only when it requires an evaluation by an independent physician of its own choosing.
Directly to the Teachers Retirement System of Georgia, along with test results, office notes and other attachments, rather than back to the member. TRS guarantees the confidentiality of the information. The member's signed release on page 1 authorizes the physician to send all medical and psychiatric records.