Injured on the Job?
At Movement Orthopedics, we understand the urgency of workplace injuries. Our team provides prompt, expert orthopedic care for work-related injuries — from initial evaluation through treatment and return-to-work clearance.
We work closely with employers, insurance adjusters, and case managers to ensure efficient communication and timely care. Walk-ins are welcome for acute work injuries, or call to schedule a priority appointment.
How Workers' Comp Works at Movement Orthopedics
Report Your Injury
Report the injury to your employer and obtain a workers' compensation claim number from the insurance carrier.
Schedule or Walk In
Call us or walk in with your claim information. Bring your employer's name, adjuster contact info, and claim number.
Get Treated & Return to Work
Our providers will evaluate, treat, and manage your care — including work status reports and return-to-work clearance.
Workers' Compensation Forms
Please download, complete, and submit the applicable forms before or at the time of your visit.
WC Referral Authorization Form
Primary referral form for employers, adjusters & case managers
Workers' Comp Patient Intake Form
Required for all new workers' compensation patients
Special Exam (IME) Application Protocol
Fees, scheduling requirements & policies for IME/special exams
Special Exam Application Form
Complete this form when requesting an IME or consultation
Out-of-State WC Letter of Agreement
For claims governed by workers' comp laws of another state
Authorization for Disclosure of PHI
HIPAA authorization for release of medical records to employer/insurer
Employer Authorization for Treatment
Authorization from employer for workers' compensation treatment
Accident / Injury Report
Description of how the work-related injury occurred
Medical Records Release
Authorization for release of medical records
How to Submit Your Forms
Fax
(833) 972-5451
In Person
Bring forms to your appointment
📋 What to Bring to Your Visit
- Photo ID
- Workers' compensation claim number
- Insurance carrier name & adjuster contact
- Employer name & contact information
- Completed workers' comp forms
- Any prior medical records or imaging related to injury
🩺 Services We Provide
- Initial injury evaluation & diagnosis
- On-site X-rays & diagnostic imaging
- Fracture care, casting & splinting
- Surgical treatment when necessary
- Physical therapy referrals
- Work status reports & return-to-work clearance
- Independent Medical Examinations (IME)
- Functional Capacity Evaluations (FCE)
For Employers & Adjusters
We partner with employers and workers' compensation carriers throughout Southeast Michigan to deliver prompt, efficient orthopedic care for injured workers. Our team provides timely documentation, work status updates, and return-to-work plans to minimize lost workdays.
To refer an injured employee or establish a relationship with Movement Orthopedics for your company's workers' compensation needs, please contact us at (586) 436-3785 or email appointments@movementortho.com.
⚡ Urgent Work Injuries
For acute work-related injuries, walk in during our office hours — no appointment needed. We offer same-day evaluation for workplace injuries at both our Clinton Township and Lenox locations. Call (586) 436-3785 for details.