Our years of experience and latest technology assure the highest quality treatment in a modern and safe environment. Patient education is important to us, and we make sure every patient is fully involved in his or her treatment.
Horizon Multispecialty Clinic specializes in a variety of medical services.
The forms are available for your reference to download as need it. In order to view and/or print PDF documents you must have a PDF viewer.
Get the answers to most of the common questions.
Our clinic specializes in healthcare for Family Practice and Federal Workers Compensation Injured employees in Tampa, Florida. Our team of professionals can diagnose and treat a variety of conditions that affect your mental and physical health. Our practice takes pride in providing compassionate quality CARE to individuals and families, building a long-term treatment in a modern and safe environment. Patient's care and education are very important to us. We make sure every patient is fully involved in the treatments.
If you are a new patient starting today, fill out a registration form and contact us for an appointment.
Preventive Medicine
I.V. Infusions
Family Practice Care
Sutures
Pap Smears
Physical Exams
High Blood Pressure treatment
Diabetic Treatments
Asthma
Weight Loss Program
Procedures
Interventional Pain Management Treatment
EMG/NCV
Nerve Block Injection
PRP
Trigger Point
Ultrasound
Initial Evaluation
Follow up treatment
Psychotherapy
Evaluation for Spinal Cord Stimulation
Behavioral Health
EMDR treatment
Ketamine
Initial Evaluation
Follow up treatment
EMG/NCV
Initial Evaluation for treatment
Vertigo Treatment
Parkison ADL's treatment
Restoring function to the musculoskeletal system, including joints, tendons, ligaments and bones.
Functional Capacity Evaluation
Deep Tissue Massage
Therapeutic Massage
Sport Massage
Initial evaluation for treatment
Adjustment
Evaluations
Follow up treatments
Acupuncture
Horizon Multispecialty Clinic, has provided a variety of forms available online. We are listing the most common forms below but an extensive list can be found at the Office of Workers' Compensation Programs website.
CA-1 Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
CA-2 Notice of Occupational Disease and Claim for Compensation
CA-7a Time Analysis Form, used for claiming compensation, including repurchase of paid leave
CA-7b Leave Buy Back (LBB) Worksheet/Certification and Election
CA-10 What A Federal Employee Should Do When Injured At Work
CA-12 Claim For Continuance of Compensation Under the Federal Employees' Compensation Act
CA-20 Attending Physician's Report
CA-35 Evidence Required in Support of a Claim for Occupational Disease
CA-721 Notice of Law Enforcement Officer's Injury Or Occupational Disease
CA-2231 Claim for Reimbursement Assisted Reemployment
OWCP-5a Work Capacity Evaluation Psychiatric/Psychological Conditions
OWCP-5b Work Capacity Evaluation Cardiovascular/Pulmonary Conditions
OWCP-5c Work Capacity Evaluation for Musculoskeletal Conditions
OWCP-16 Rehabilitation Plan And Award
OWCP-17 Rehabilitation Maintenance Certificate
OWCP-20 Overpayment Recovery Questionnaire
OWCP-915 Claim For Medical Reimbursement (Form OWCP-915 replaces CA-915)
If you had employment-related injuries or occupational diseases you might qualify for one of the four major disability compensation programs the Office of Workers' Compensation Programs (OWCP) offers. Our providers will help and treat Federal Employees who have been hurt on the job. The providers will help the injured patient to recover quickly, guide, and assist with OWCP claim process. When you are injured due to a work-related injury, it is important to be treated by a provider who is familiar and experienced with the proper OWCP procedures and the DOL-OWCP system requirements. This will assist you in getting your claim faster and accurate, without delays or denials. Our Frequently Asked Section provides some common answers regards the form to be filled. Feel free to call us for further assistance.
If you wish to file a claim under the Federal Employees' Compensation Act (FECA), you can file a claim using Form CA-1 (Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation) or Form CA-2 (Notice of Occupational Disease and Claim for Compensation). Depending on your agency, you may be required to file an OSHA-301 before filing a FECA claim.
If your claim is submitted to the Office of Workers' Compensation Programs (OWCP), you will be assigned a case number and receive an informational letter from OWCP with that case number. That letter will also provide you with information regarding how to view your case status, billing updates, coverage limitations, and other information via the Claimant Query System (CQS).
Once a case number has been assigned, you can submit information pertaining to that case file through ECOMP's Document Upload feature, available from the ECOMP homepage.
The CA-1 form is used if the employee has sustained a Traumatic Injury on the job.
To be eligible, you must submit a CA-1 within 30 days of the injury. If disabled and claiming OWCP benefits, you must submit medical evidence supporting your disability to your employing agency within 10 workdays.
The injury is a medical condition resulting from an incident or activity occurring during one work shift.
The CA-2 Notice of Occupational Disease form should be used if you have sustained an occupational disease injury on the job. An Occupational Disease is a condition produced in the work environment over a period longer than one work day or shift.
To be eligible, you must submit a CA-1 within 30 days of the injury. If disabled and claiming OWCP benefits, you must submit medical evidence supporting your disability to your employing agency within 10 workdays.
Form CA-1 is used for a traumatic injury (a medical condition resulting from an incident or activity occurring during one work shift). Form CA-2 is for an occupational disease (a medical condition resulting from an incident or activity occurring over more than one work shift).
• An ECOMP account (you can register for an ECOMP account using your email address)
• Your government organization
• Your supervisor's email address
• For new injury/illness claims, details for the event (place, time, extent of injury, etc.)
• If available, supporting documentation, such as medical reports (have these ready in electronic format)
Remember that before filing a form in ECOMP, you must register and create an account. Once you have registered, you can initiate a form from your Employee Dashboard.
You must fill out each form completely and submit it for review. You may save a partially completed form and come back to it later. You may also upload and attach supporting documents to be submitted along with a FECA claim form. If your form is incomplete, it will appear in your Dashboard as 'DRAFT', and will not be processed until you complete all fields and submit the form for review.
Once you submit your form, it will be reviewed by your supervisor (we'll ask you for their email address) and then by a reviewing official within your agency. If appropriate, FECA forms will then be submitted to OWCP. If your supervisor has a question, he/she may send the form back to you. Forms sent back for your review will appear in your Dashboard as 'Returned to Filer'.
You will receive status emails during this process. You may also use the "Track Status" function to monitor the progress of your submission or check the status of your forms from your Employee Dashboard.
