A. The injured worker must seek medical treatment no later than thirty (30) days after the date of injury. No benefits will be paid if the injured worker does not seek medical treatment within thirty (30) days of the date of injury.

B. No benefits shall be payable for the death and/or disability of a worker if the worker’s death is caused by, or the worker’s disability aggravated, caused or continued by, an unreasonable refusal and/or neglect to submit to and/or follow any competent or reasonable surgical or medical treatment, medical aid, or advice. A worker who has refused and/or neglected to submit to medical and/or therapeutic treatment, or to take medications as prescribed, will be deemed to have reached maximum medical improvement as defined herein. Any such existence of a disability that could have been reasonably treated to success with reasonable medical probability will be discounted in determining the appropriate incapacity rating as prescribed herein.

C. Any worker entitled to benefits under this Act shall be presumed to have reached maximum medical improvement if such claimant has refused and/or neglected to seek appropriate medical treatment within six months from the date of prior treatment.

D. If an injured worker undertakes activities on or off the job, which exceed recommendations of the attending physician, and cause the condition to worsen, the worker shall not receive benefits for the aggravation. ONCA 12-76, eff. Oct. 1, 2012; ONCA 15-52, eff. Nov. 6, 2015.