Medical professional documents the disabling condition (ICD code), onset, findings, treatment, prognosis and psychiatric/physical capabilities, and whether the employee is disabled under the Correctional Retirement Plan definition, for an MSRS disability benefit.
- Completed by
- One statement by a licensed practicing physician (MD); the second by another MD, physician assistant, psychologist, APRN, chiropractor or podiatrist
- Issued by
- Minnesota State Retirement System (MSRS)
- Format
- Language
- English