Case Transfer Card

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Title	Case Transfer Card (150 KB PDF)
Description	Used by injured worker to notify claim manager and request authorization to transfer care to a different doctor.
Detail
Form number	F245-037-000
Availability	Order it
Keywords	attending physician, authorization, case transfer, claims, doctor, espanol, industrial insurance, injured worker, insurance, medical, new doctor, physician, provider, spanish, transfer, worker's compensation, workers compensation, workers' compensation
Languages	English , Spanish
Valid dates	04-2008
Contact information	Managing Injured Workers' Claims Claims for Job Injuries
Web pages	For Medical Providers Workers' Comp Claims