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Texas Department of Insurance
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Health care measuring range of motion of an injured employee's arm

What is a designated doctor?

A designated doctor (DD) is a doctor or health care provider selected and trained by DWC to resolve questions about an injured employee's medical condition; or a dispute about a work-related injury or illness.
The injured employee, the employee's representative, or insurance carrier, or DWC can request a DD exam. DWC decides if a DD should be appointed to conduct the exam. View video.

Designated doctor program

Designated doctor conducting an exam


PSI Exams administers the designated doctor and maximum medical improvement and impairment rating (MMI/IR) certifying doctor exams at locations across Texas. Contact PSI to schedule an exam or call 855-746-8173.

Use the TXCOMP Health Care Provider System to find your expiration date.

TXCOMP appointment features

Doctors and their administrators must use TXCOMP to:

  • accept and manage designated doctor appointments, and
  • file required reports online.

DD TXCOMP implementation memo

Slideshow: TXCOMP appointment features for DDs and RMEs training 

Tips to successfully upload your reports in TXCOMP:

  • Files format must be one of the following:
    • Microsoft Word (.doc and .docx),
    • Microsoft Excel (.xls and .xlsx),
    • Read-only Portable Document Format (.pdf), or
    • Tagged Image Format (.tif and .tiff).

  • Read-only Portable Document Format (.pdf), or
  • Tagged Image Format (.tif and .tiff).
  • Files size must be less than 10MB.
  • File name must be less than 100
  • When uploading a DWC Form-069 and narrative both file names together must be less than 100 characters.

 DWC Form-069 and narrative options *DWC069 Choose File button | No file chosen *Narrative Choose File button | No file chosen

  • These special characters are not allowed in the file name: <  >  :  “  /  \  |  ?  *  ,  ;  -

Note: Compressed or "zipped" files are not accepted.

For more information, contact:

Last updated: 5/30/2024