                                 Cite as 2014 Ark. App. 499

                   ARKANSAS COURT OF APPEALS
                                        DIVISION I
                                       No.CV-14-135

                                                  Opinion Delivered September   24, 2014
KELLEY DELARGY
                               APPELLANT          APPEAL FROM THE ARKANSAS
                                                  WORKERS’ COMPENSATION
V.                                                COMMISSION
                                                  [No. F909336]
GOLDEN YEARS MANOR and
CANNON COCHRAN MANAGEMENT
SERVICES, INC.
                    APPELLEES                     REVERSED and REMANDED



                               LARRY D. VAUGHT, Judge

       Appellant Kelley Delargy appeals from a decision of the Arkansas Workers’

Compensation Commission (Commission) denying further benefits following a compensable

lumbar spine injury she suffered when helping lift a resident from the floor to an ambulance

stretcher while working as a licensed practical nurse for appellee Golden Years Manor. Appellee

paid for medical treatment and other benefits until August 2010. However, over the next three

years there were several controverted claims. After a review of a hearing on the claims, in a

December 2013 opinion, the Commission found that Delargy had previously reached maximum-

medical improvement; that she failed to establish by a preponderance of the evidence that any

additional medical treatment was authorized or reasonable, necessary, and related to her work;

that she was entitled to additional temporary total-disability benefits or permanent-partial-

disability benefits; and that she was entitled to wage loss. We reverse and remand because

Delargy was not properly notified of her “change of physician” rights and responsibilities.
                                  Cite as 2014 Ark. App. 499

       We focus our attention on the portion of Delargy’s claim of error in the Commission’s

decision, which found that a portion of Delargy’s medical treatment was unauthorized. The

Commission cited the provision of Arkansas Code Annotated section 11-9-514 (Repl. 2011) that

provides that unauthorized medical expenses are not the responsibility of the employer if

incurred after the employee received “a copy” of the notice of injury, which shall be delivered

to the employee “in person or by certified or registered mail” and which “explains the

employee’s rights and responsibilities concerning change of physician.”

       In the Commission’s opinion, it stated:

       The Claimant testified that she received, read, and signed a Commission Form AR-N on
       October 14, 2009. . . . Form AR-N . . . includes language detailing an employee’s
       statutory rights and responsibilities with regard to medical treatment and change of
       physician. The evidence in the present matter demonstrates that the respondents
       delivered to the claimant in person a copy of a notice explaining the claimant’s rights and
       responsibilities regarding change of physician, in accordance with Ark. Code Ann.
       section 11-9-514(c) (Repl. 2002).

Appellant argues that the Commission failed to properly apply section 11-9-514 when it found

that her treatment from her physician, Dr. Richard Peek, was unauthorized. Specifically, she

argues that the evidence does not support the Commission’s finding that she actually received

a copy of Form AR-N. We agree with her that the statutory requirements related to the Form

AR-N were not proved at the hearing.

       First, the actual signed Form AR-N is neither in the abstract nor in the record (neither

is the change-of-physician request). Second, Delargy’s testimony was merely that she “did read

and sign” the form. However, the requirements of “receiving” the form are statutory in nature,

requiring that



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               (1) After being notified of an injury, the employer or insurance carrier shall deliver
       to the employee, in person or by certified or registered mail, return receipt requested, a
       copy of the notice, approved or prescribed by the commission, which explains the
       employee’s rights and responsibilities concerning change of physician.

              (2) If, after notice of injury, the employee is not furnished a copy of the notice,
       the change of physician rules do not apply.

Ark. Code Ann. § 11-9-514(c) (Repl. 2011). We are obliged to strictly construe and apply the

workers’ compensation act. Ark. Code Ann. § 11-9-704(c)(3) (Repl. 2002). Furthermore, there

must be substantial evidence that the employer complied with the statutory mandate, but here,

there is no evidence to support the Commission’s finding that Delargy received a copy of the

notice of the procedure involved in changing physicians.

       Arkansas Code Annotated section 11-9-514(a)(2)(A) allows a one-time-only change of

physician. Subsection (c)(1) mandates that the employer, after being notified of an injury, deliver

a copy of a notice to the employee, in person or by certified or registered mail, return receipt

requested, explaining the employee’s rights and responsibilities concerning change of physician.

If the employee is not furnished a copy of the notice, the change of physician rules do not apply.

Ark. Code Ann. § 11-9-514(c)(2).

       Here, there is a complete lack of evidence to support the Commission’s finding that

appellant “received” the form. Based on our substantial-evidence standard of review, this case

must be reversed due to the lack of evidence supporting the Commission’s finding that appellee

complied with the notice provision relating to Delargy’s change-of-physician rights. We also

remand for the Commission to consider the remaining controverted issues in light of the fact

that now—in relation to this claim—the “change of physician rules do not apply.” Ark. Code

Ann. § 11-9-514(c)(2).

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Reversed and remanded.

GRUBER and WHITEAKER, JJ., agree.

Orr Willhite, PLC, by: M. Scott Willhite, for appellant.

Michael E. Ryburn, for appellees.




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