WCPanelIQ
PanelQMEMed-legalDenied

Tiller Kelley, Heather

HEATHER TILLER KELLEY, Applicant vs. SACRAMENTO CITY UNIFIED SCHOOL DISTRICT, permissibly self-insured, Defendants

ADJ number
ADJ18027061
Decision date
Sep 9, 2025
District office
Sacramento
WCJ
—
Claim administrator
Sacramento City Unified School District (permissibly self-insured)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: back, neck, psyche/stress, stroke, brain, head, face, speech, bilateral upper extremities, bilateral lower extremities, circulatory system, nervous system

LC §4060LC §4061LC §4062.2LC §4062.3LC §4064LC §4600LC §4603LC §4620LC §5703LC §5900LC §5902LC §5903LC §5909CCR §9785CCR §9786CCR §10116.9CCR §10682CCR §10955

Summary

Applicant Heather Tiller Kelley claimed industrial injury to multiple body parts during employment with Sacramento City Unified School District. After defendant denied all liability on August 9, 2023, applicant self-procured treatment, designating a Texas-based chiropractor (Dr. Zuber) as PTP and obtaining comprehensive medical-legal reports from him and secondary physicians Drs. Pasek and Maasumi. The WCJ initially excluded these reports finding they were obtained outside section 4062.2's process and reflected no actual treatment relationship. On reconsideration, the WCAB rescinded that ruling, finding the reports admissible and submittable to a QME/AME because defendant's denial relinquished medical control, allowing applicant to self-procure treatment and obtain P&S medical-legal reporting. Defendant petitioned for reconsideration of that O&O; the Board denied the petition, applying the removal standard and finding no irreparable harm.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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