Who We Serve
Our practice serves federal workers only. We are committed to providing clear communication, organized care, and a professional experience tailored to the needs of this patient population.
Our Clinical Services
We provide medical care, physical therapy, massage therapy, and acupuncture services as part of a coordinated approach to patient support and treatment.
Our Approach
We focus on helping patients access services, understand office procedures, and receive reliable support in a structured clinical setting. Our goal is to make important information easy to understand and easy to access.
Federal Workers Forms
For your convenience, we have provided links to commonly used Office of Workers’ Compensation Programs (OWCP) forms. To ensure you are using the most current version, all publicly available forms below link directly to the official U.S. Department of Labor website.
- CA-1 – Federal Employee’s Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation.
- CA-2 – Notice of Occupational Disease and Claim for Compensation.
- CA-2A – Notice of Recurrence.
- CA-5 – Claim for Compensation by Surviving Spouse and/or Children.
- CA-5B – Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren.
- CA-7 – Claim for Compensation.
- CA-7A – Time Analysis Form.
- CA-7B – Leave Buy Back Worksheet/Certification and Election.
- CA-12 – Claim for Continuance of Compensation.
- CA-16 – Authorization for Examination and/or Treatment. This form is not publicly downloadable and is available only to authorized employing agency personnel.
- CA-17 – Duty Status Report.
- CA-20 – Attending Physician’s Report.
- CA-1108 – Statement of Recovery Letter with Long Form.
- CA-1122 – Statement of Recovery Letter with Short Form.
- OWCP-915 – Claim for Medical Reimbursement.
- OWCP-957 – Medical Travel Refund Request.
- OWCP-1500 – Health Insurance Claim Form.
These forms are provided for convenience only. Patients should use the current official U.S. Department of Labor version and follow OWCP or employing agency filing instructions. Downloading a form from this page does not mean it has been filed.
Contact Our Office
If you are a federal worker seeking more information about our services or scheduling, please contact our office directly at (813) 328-4120 or emergencemat2021@gmail.com.