Transfer of Care Card (Spanish) Tarjeta para Transferencia de Caso


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Title Transfer of Care Card (Spanish) Tarjeta para Transferencia de Caso
Description

Used by injured worker to notify claim manager and request authorization to transfer care to a different doctor.

Document number F245-037-999
How to get this document
Keywords attending physician, claims, espanol, industrial insurance, medical, new doctor, provider, spanish, worker's compensation, workers compensation, workers' compensation
Alt Language(s) English
Valid dates 07/2012
Contact information Claims for Job Injuries, Employer Services
Websites For Medical Providers, Workers' Comp Claims

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