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NM PROPA: Provider's Report of Physical Ability

New Mexico's Workers' Compensation Administration asks the primary treating provider to complete the Provider's Report of Physical Ability so employers can find safe work for a recovering worker. Its four sections record diagnosis, work-relatedness and MMI, one of three work status options, quantified lifting, posture and other restrictions for modified duty, and follow-up care. A copy goes to the worker right after each visit.

Who completes it

The primary treating health care provider completes and signs the whole front page, using the guidelines printed on the back. The worker, employer and insurer receive copies but complete nothing.

Submitting and payment

How to submit it
Give a copy to the worker immediately after each office visit and provide it to the employer and insurer. Questions about the form go to the WCA Medical Cost Containment Bureau.
Who pays
Under the WCA Health Care Provider Fee Schedule, the form is reimbursed only when completed at the initial visit or when work status or activity restrictions change, although providers are encouraged to complete it at every appointment.

Good to know

  • Check only one work status: released to regular work, not released to any work, or released to modified duty. Only modified duty uses Section 3.
  • Restrictions give maximum pounds per cumulative hours per day (0, 2, 4, 6 or 8) by side; unmarked items mean no restriction, and restrictions apply outside work too.
  • Separate checkboxes flag medication restrictions and psychological restrictions, each explained under other restrictions or modifications.
  • The PROPA is not a substitute for a functional capacity evaluation; the back page defines sedentary, light, medium and heavy capacity levels for reference.

Get the official form

Download the current version from the source each time; forms change without notice.

WCA Provider's Report of Physical Ability

Official pagePDF

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

See how Vero Documents works

How this list is checked

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

When is the New Mexico PROPA reimbursed?

Only when it is completed at the initial assessment or when the worker's work status or activity restrictions change, per the WCA Health Care Provider Fee Schedule. The WCA still encourages the primary treating provider to complete it at each appointment, marking on follow-ups whether any recommendation changed since the last visit.

Who gets a copy of the PROPA?

The worker, immediately after each office visit. The form's stated purpose is to give interested parties, including employers, a clear, quantitative description of current claim-related physical restrictions, so employers can identify suitable work and assign safe work activities.

Does the PROPA replace a functional capacity evaluation?

No. The guidelines on the back state the form is not intended to substitute for a functional capacity evaluation. Its restrictions are based on the provider's best understanding of the worker's essential job functions and on a reasonable medical probability.