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Published November 26, 2025

Free Workers’ Comp Medical Evidence Log PDF (Keep Your Claim Organized)

Workers’ comp cases move slowly, and missing paperwork can delay treatment or settlement. A simple PDF log keeps your visits, bills, and denials in one place for attorneys, adjusters, or a judge.

Open the Workers’ Comp Medical Evidence Log

Why workers’ comp cases need organized medical evidence

Adjusters and judges look for clear proof of treatment, bills, and outcomes. A tidy log helps you show the timeline, costs, and any denials or delays.

What to track

  • All medical visits, tests, surgeries, and physical therapy sessions.
  • Billed amounts and any payments or reimbursements.
  • Document types like operative reports, billing statements, or IME/IMR reports.
  • Status updates such as pending, approved, denied, or paid.

How this free log helps

Share the PDF with your attorney before hearings, mediation, or settlement talks. It keeps everyone aligned on what has been treated, what was denied, and what remains outstanding.

Using the CourtPDF log tool

  1. Add claimant, employer, insurer/TPA, and injury date details.
  2. List each medical visit with provider, service type, document type, and amounts.
  3. Note statuses like pending, denied, or paid, plus any follow-up notes.
  4. Click “Generate PDF evidence log” to download and share.

FAQ

  • Is this an official form? No. It is a helper log for your records.
  • Can I use this with my lawyer? Usually yes. Share it to speed up reviews.
  • Does this replace the insurance company’s forms? No. Still complete any forms they request.
Open the Workers’ Comp Medical Evidence Log