The Physician’s Back Office

Patient paperwork, decoded.

FMLA certifications, disability forms, workers’ comp, parking placards — the stack that lands in your inbox and that nobody taught you in residency. I walk through how to actually complete them: what each section is asking, what gets them sent back, and how to get through them faster.

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Written walkthroughs, free

The video walkthroughs are in production. These are the written versions — full field-by-field detail, no signup.

WH-380-E, field by field

The FMLA medical certification for an employee’s own serious health condition, section by section — including the two boxes that account for most of the packets that come back incomplete.

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Can you charge for FMLA paperwork?

What the regulations actually say about who pays for the certification, what a practice may and may not bill for, and where the common advice gets it wrong.

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Should you use ChatGPT for FMLA paperwork?

An honest look: what a general chatbot does well on these forms, and four places it structurally breaks down.

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What’s covered

The forms, specifically

Not “practice management.” The actual documents, named, one at a time.

FMLA certifications

WH-380-E and WH-380-F, plus the military-family and caregiver forms (WH-384, WH-385, WH-385-V).

Short- and long-term disability

Carrier Attending Physician Statements — the ones that arrive as a fresh packet per claim.

Federal workers’ compensation

OWCP CA-17 duty-status reports and CA-20 attending physician’s reports.

Disabled parking placards

The application is different in every state, and the certifying criteria are not the same either.

Patient assistance programs

Manufacturer applications for patients who cannot afford the drug you just prescribed.

Total & Permanent Disability discharge

The form that can wipe out a patient’s federal student loans, and what it requires of you.

Prior authorizations and appeals

What the reviewer is looking for, and what makes a peer-to-peer go your way.

Letters with no form

Work restrictions, school accommodations, service-animal requests, travel clearance.

The tool

Patient Papers

I got tired of doing these one packet at a time, so I built software for it. Patient Papers takes the same forms covered here, turns each one into a short set of plain questions, and fills the real PDF.

It exists because a physician’s evening is a bad place to keep re-deriving what box 6 wants.

Who I am

Kevin Lease, MD

Kevin Lease, MD

I’m a practicing physician. I still complete these forms myself, most weeks — which is the whole qualification. There is no consultant standing between me and the paperwork.

Everything here is educational. It is not legal, financial, or medical advice, and it is no substitute for your own judgment about your own patient.

New walkthroughs go up on YouTube

One form at a time, start to finish, with the form on screen.

Subscribing there is the only list I keep — there is no email signup on this site.